Individual
KYLE M DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT ATC
Contact information
Practice address
525 COURT ST, RENO, NV 89501-1731
(775) 560-7699
Mailing address
6010 GOLDENROD DR, RENO, NV 89511-8076
(775) 560-7699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1562
NV
225100000X
Physical Therapist
NV1562
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502293
—
NV
Enumeration date
03/17/2006
Last updated
08/28/2014
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