Healthcare Provider Details

I. General information

NPI: 1396083754
Provider Name (Legal Business Name): ANNE REIHER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2013
Last Update Date: 01/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 CHARLEVOIX DR SE STE. 200
GRAND RAPIDS MI
49546-7085
US

IV. Provider business mailing address

2900 CHARLEVOIX DR SE STE. 200
GRAND RAPIDS MI
49546-7085
US

V. Phone/Fax

Practice location:
  • Phone: 800-684-8048
  • Fax: 800-325-1326
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number9037
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: