Individual
KIMBERLY WORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2180 RENO HWY, FALLON, NV 89406-2629
(775) 423-5233
Mailing address
613 GREAT BASIN LN, FALLON, NV 89406-4528
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3901
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730148875
—
NV
Enumeration date
09/25/2019
Last updated
09/25/2019
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