Doctor Name: | IRENE MONIQUE MASCETTI-KUSKO |
NPI Number: | 1447539929 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CADC-I |
License Number: | |
Business Practice Address: | 90 Ancient Hills Ln Henderson, NV - 890741750 |
Business Phone Number: | 7856728962 |
Business Fax Number: | |
Mailing Address: | 5659 Duncan Dr, LAS VEGAS |
State: | NV |
Postal Code: | 891302811 |
Phone Number: | 7023852020 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2011 |
NPI Last Update Date: | 06/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |