Healthcare Provider Details

I. General information

NPI: 1851330401
Provider Name (Legal Business Name): KIRSTEN MARIE SIPPEL-KLUG PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIRSTEN MARIE SIPPEL PT

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STUTTGART HEALTH CLINIC PATCH BARRACKS, UNIT 30401
APO AE
09107
DE

IV. Provider business mailing address

CMR 445 BOX 841
APO AE
09046
DE

V. Phone/Fax

Practice location:
  • Phone: 497031152697
  • Fax:
Mailing address:
  • Phone: 497031152697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2191
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: