Provider Demographics
NPI:1447057468
Name:VAGUS NV PELVIC THERAPY AND WELLNESS LLC
Entity type:Organization
Organization Name:VAGUS NV PELVIC THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:XELA
Authorized Official - Middle Name:X
Authorized Official - Last Name:OYER-JAVON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:505-379-3437
Mailing Address - Street 1:8957 EUDORA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5389
Mailing Address - Country:US
Mailing Address - Phone:505-379-3437
Mailing Address - Fax:
Practice Address - Street 1:8957 EUDORA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5389
Practice Address - Country:US
Practice Address - Phone:505-379-3437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy