Individual
TIMOTHY TULPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5070 ION DR STE 210, SPARKS, NV 89436-1612
(775) 786-3040
(775) 348-3054
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2027
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100519004
—
NV
01
—
11632650
CAQH
—
Enumeration date
09/20/2006
Last updated
04/29/2022
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