Doctor Name: | MAX SANTOS |
NPI Number: | 1033500368 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1017 E Basin Ave Ste 3 Pahrump, NV - 890604532 |
Business Phone Number: | 7757510444 |
Business Fax Number: | |
Mailing Address: | 1921 E Calvada Blvd Apt2, PAHRUMP |
State: | NV |
Postal Code: | 890485848 |
Phone Number: | 7755136978 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2015 |
NPI Last Update Date: | 02/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Recreation Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |