Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Super Youth of Nevada

Organization Rehabilitation Practitioner · NPI 1174895890

Super Youth of Nevada is a Rehabilitation Practitioner in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2012.

Licensed in
NV
In the registry since
2012

Practice location Address checks out

867 Worrell Ave
Las Vegas, NV 89123-3183
Phone: (702) 748-1508
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (NV)

Record details

NPI number1174895890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Demetrius Hunter — Manager · (702) 748-1508
NPI enumeratedJanuary 27, 2012
Last updated in NPPESApril 11, 2012
Mailing address867 Worrell Ave., Las Vegas, NV 89123-3183

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