Healthcare Provider Details

I. General information

NPI: 1487075438
Provider Name (Legal Business Name): ORTHOPRO OF RENO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3195 MILL ST
RENO NV
89502-2201
US

IV. Provider business mailing address

3195 MILL ST
RENO NV
89502-2201
US

V. Phone/Fax

Practice location:
  • Phone: 775-324-1443
  • Fax: 775-324-1663
Mailing address:
  • Phone: 775-324-1443
  • Fax: 775-324-1663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNV

VIII. Authorized Official

Name: KASSITY TESSERS
Title or Position: OFFICE MANAGER
Credential:
Phone: 775-324-1443