Healthcare Provider Details

I. General information

NPI: 1164330569
Provider Name (Legal Business Name): PATRICK KUNKEL PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18653 WEDGE PKWY
RENO NV
89511-3005
US

IV. Provider business mailing address

555 N ARLINGTON AVE
RENO NV
89503-4724
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-3040
  • Fax:
Mailing address:
  • Phone: 775-786-3040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7101
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: