Healthcare Provider Details

I. General information

NPI: 1740246933
Provider Name (Legal Business Name): RAPPAPORT AND KIP LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6630 SO MCCARRAN BLVD A-6
RENO NV
89059-6163
US

IV. Provider business mailing address

6630 S MCCARRAN BLVD A-4
RENO NV
89509-6135
US

V. Phone/Fax

Practice location:
  • Phone: 775-828-2866
  • Fax: 775-828-2891
Mailing address:
  • Phone: 775-828-2880
  • Fax: 775-828-2889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number1253
License Number StateNV

VIII. Authorized Official

Name: JAMES R RAPPAPORT
Title or Position: CO OWNER OF TIN
Credential: MD
Phone: 775-828-2873