Provider Demographics
NPI:1740246933
Name:RAPPAPORT AND KIP LTD
Entity type:Organization
Organization Name:RAPPAPORT AND KIP LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO OWNER OF TIN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAPPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-828-2873
Mailing Address - Street 1:6630 S MCCARRAN BLVD
Mailing Address - Street 2:A-4
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6135
Mailing Address - Country:US
Mailing Address - Phone:775-828-2880
Mailing Address - Fax:775-828-2889
Practice Address - Street 1:6630 SO MCCARRAN BLVD
Practice Address - Street 2:A-6
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89059-6163
Practice Address - Country:US
Practice Address - Phone:775-828-2866
Practice Address - Fax:775-828-2891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1253261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy