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Jesse Reno

Physical Therapist in Kingman, AZ. Individual provider (NPI-1).

NPI number1528782810
StatusActive
Last updated in NPPESSep 29, 2022

Details

NPI
1528782810
Entity type
Individual (NPI-1)
Name
Jesse Reno
Sex
Male
Sole proprietor
No
Enumeration date
Sep 29, 2022
Certification date
Sep 29, 2022
Last updated
Sep 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistLPT-32584AZYes

Practice location

2404 N Stockton Hill Rd Ste K
Kingman, AZ 86401-4184

Phone 928-440-6880 · Fax 928-529-5036

Mailing address

2404 N Stockton Hill Rd Ste K
Kingman, AZ 86401-4184

Phone 928-440-6880 · Fax 928-529-5036

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