Individual
KEITH STUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
18945 FM 2252, SUITE 115, GARDEN RIDGE, TX 78266-2562
(210) 651-0027
Mailing address
6161 CALLE MARISELDA UNIT 404, SAN DIEGO, CA 92124-1163
(619) 920-2383
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
030202035
CA
226300000X
Kinesiotherapist
2003200044
CA
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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