Healthcare Provider Details

I. General information

NPI: 1003735713
Provider Name (Legal Business Name): KATHARINE RIENERTH LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7173 S HAVANA ST # 42
CENTENNIAL CO
80112-3891
US

IV. Provider business mailing address

7173 S HAVANA ST # 42
CENTENNIAL CO
80112-3891
US

V. Phone/Fax

Practice location:
  • Phone: 720-235-8486
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberACU.0002979
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: