Individual
KEITH STUMPF
Active
Individual
KEITH STUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
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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