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Mr. Randy Masao Nakasone, PT
Specialist in Las Vegas, New Mexico
NPI 1366512691

Randy Masao Nakasone is a Specialist based in Las Vegas, NM. Randy Masao Nakasone practices in Las Vegas, NM and has the professional credentials of PT. The NPI Number for Randy Masao Nakasone is 1366512691 and holds a License No. 1308 (New Mexico).

The current practice location address for Randy Masao Nakasone is 508 University Ave, Las Vegas, NM and can be reached out via phone at 505-425-7762 and via fax at 505-454-9880.

Location: 508 University Ave, Las Vegas, NM, 87701-4349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366512691
Provider Name
Randy Masao Nakasone
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
508 University Ave, Las Vegas, NM, 87701-4349
Phone Number
505-425-7762
Fax Number
505-454-9880
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1308 01 NM PT LICENSE
institution
Provider Business Practice Location Address Details
Address
508 University Ave
City
Las Vegas
State
New Mexico
Zip
87701-4349
Phone Number
505-425-7762
Fax Number
505-454-9880
person
Provider Business Mailing Address Details
Address
508 University Ave
City
Las Vegas
State
New Mexico
Zip
87701-4349
Phone Number
505-425-7762
Fax Number
505-454-9880
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1308 (New Mexico)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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