Provider Demographics
NPI:1063539161
Name:ARTUZ, MILLICENT (PT)
Entity type:Individual
Prefix:MS
First Name:MILLICENT
Middle Name:
Last Name:ARTUZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11908 BARCINAS LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-4539
Mailing Address - Country:US
Mailing Address - Phone:702-403-3164
Mailing Address - Fax:702-646-5647
Practice Address - Street 1:11908 BARCINAS LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89138-4539
Practice Address - Country:US
Practice Address - Phone:702-403-3164
Practice Address - Fax:702-646-5647
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist