Organization
KIME PERFORMANCE NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R MIKLA PT (CEO)
(916) 342-4190
Entity
Organization
Contact information
Practice address
5301 LONGLEY LN STE 81, RENO, NV 89511-1868
(916) 905-6378
Mailing address
5301 LONGLEY LN STE 81, RENO, NV 89511-1868
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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