MEDICARE: ANGELA MICHELLE REICH DPT

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	208100000X	Physical Medicine & Rehabilitation Physician	KS1103959	KS
2	225100000X	Physical Therapist	2009014372	MO
3	225100000X	Physical Therapist	11-03959	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932432747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MICHELLE REICH DPT

Provider Business Mailing Address
First Line	:	1800 PALACE DR STE C
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-6265
Country	:	US
Telephone Number	:	657-294-6350
Fax Number	:	620-271-0703

Provider Business Practice Location Address
First Line	:	1800 PALACE DR
Second Line	:	SUITE C
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-6264
Country	:	US
Telephone Number	:	620-271-0700
Fax Number	:	620-271-0703

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

Provider Enumeration Date	:	09/10/2009
Last Update Date	:	10/13/2022

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