Individual
MS. KRISTINA NICOLE GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10775 DOUBLE R BLVD, STE 100, RENO, NV 89521
(775) 853-7475
(775) 853-2013
Mailing address
415 HWY 95A S., STE C302, FERNLEY, NV 89408
(775) 575-1818
(775) 575-1808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505679
—
NV
Enumeration date
04/17/2015
Last updated
04/17/2015
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