MEDICARE: STACY A REINHART AUD

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
1	231H00000X	Audiologist	00604	IA

General Provider Information

NPI Number	:	1679552665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY A REINHART AUD

Provider Business Mailing Address
First Line	:	1000 73RD ST
Second Line	:	SUITE 4
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50324-1321
Country	:	US
Telephone Number	:	515-440-3323
Fax Number	:	515-440-0344

Provider Business Practice Location Address
First Line	:	1000 73RD ST
Second Line	:	SUITE 4
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50324-1321
Country	:	US
Telephone Number	:	515-440-3323
Fax Number	:	515-440-0344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	03/01/2010

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Directions to “ STACY A REINHART AUD” Practice Location

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