Individual
JEFFREY KERTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MS, DPT
Contact information
Practice address
9480 DOUBLE DIAMOND PKWY STE 200, RENO, NV 89521-5842
(775) 348-8800
(833) 687-1419
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3352
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033569660
—
NV
01
—
13842203
CAQH
—
Enumeration date
06/14/2016
Last updated
02/09/2024
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