Provider Demographics
NPI:1851330401
Name:SIPPEL-KLUG, KIRSTEN MARIE (PT)
Entity Type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:MARIE
Last Name:SIPPEL-KLUG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:KIRSTEN
Other - Middle Name:MARIE
Other - Last Name:SIPPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:CMR 445 BOX 841
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09046
Mailing Address - Country:DE
Mailing Address - Phone:49703-115-2697
Mailing Address - Fax:
Practice Address - Street 1:STUTTGART HEALTH CLINIC
Practice Address - Street 2:PATCH BARRACKS, UNIT 30401
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09107
Practice Address - Country:DE
Practice Address - Phone:49703-115-2697
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC2191225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist