| Organization Name: | HUMBOLDT PHYSCIAL THERAPY & FITNESS, INC. |
| NPI Number: | 1265860456 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW C HILLYER (PRESIDENT) |
| Mailing Address: | 135 W 2nd St Winnemucca |
| State: | NV US |
| Postal Code: | 894453406 |
| Phone Number: | 7756234813 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2013 |
| NPI Last Update Date: | 05/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | NV660 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |