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Individual

DR. JACOB PAUL KISSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT, CSCS

Contact information

Practice address
6170 N DURANGO DR STE 160, LAS VEGAS, NV 89149-3949
(702) 222-1000
Mailing address
2103 BABYLON MILL ST, HENDERSON, NV 89002-3655
(702) 789-9592

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6738
NV

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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