Individual
KIPP STODTMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12090 MAHOGANY CIR, RENO, NV 89511-9209
(775) 560-7263
Mailing address
12090 MAHOGANY CIR, RENO, NV 89511-9209
(775) 560-7263
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3813
NV
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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