Individual
JESSE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6410 S VIRGINIA ST, RENO, NV 89511-1103
(775) 322-5757
Mailing address
2900 CHARLEVOIX DR SE STE 200, GRAND RAPIDS, MI 49546-7086
(616) 975-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3744
NV
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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