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NPI Code Detail

MEDICARE: MARK F REINKING PT, SCS, ATC

MEDICARE:   MARK F REINKING  PT, SCS, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251S0007XSports Physical Therapist119734MO
22255A2300XAthletic Trainer119807MO

General Provider Information

NPI Number : 1326012568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK F REINKING PT, SCS, ATC
Provider Business Mailing Address
First Line : 3372 W 38TH AVE APT 312
Second Line :
City : DENVER
State : CO
Zip : 80211-1963
Country : US
Telephone Number : 314-680-3923
Fax Number :
Provider Business Practice Location Address
First Line : 3333 REGIS BLVD
Second Line : G-4
City : DENVER
State : CO
Zip : 80221-1154
Country : US
Telephone Number : 303-964-6471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 09/17/2015

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Directions to “ MARK F REINKING PT, SCS, ATC” Practice Location

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