Provider Demographics
NPI:1912778853
Name:S HONEST PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:S HONEST PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HONEST
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CPC
Authorized Official - Phone:702-245-9633
Mailing Address - Street 1:PO BOX 778375
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89077-8375
Mailing Address - Country:US
Mailing Address - Phone:702-245-9633
Mailing Address - Fax:
Practice Address - Street 1:3055 ST. ROSE PKWY.
Practice Address - Street 2:#778375
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89077
Practice Address - Country:US
Practice Address - Phone:702-245-9633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy