Provider Demographics
NPI:1164728515
Name:STUNKEL, AIMEE LOREE (DPT)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:LOREE
Last Name:STUNKEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3777 PECOS MCLEOD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-4264
Mailing Address - Country:US
Mailing Address - Phone:702-731-6873
Mailing Address - Fax:702-731-2565
Practice Address - Street 1:3777 PECOS MCLEOD
Practice Address - Street 2:SUITE 102
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-4264
Practice Address - Country:US
Practice Address - Phone:702-731-6873
Practice Address - Fax:702-731-2565
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2491225100000X
IL070016565225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist