Healthcare Provider Details

I. General information

NPI: 1245152925
Provider Name (Legal Business Name): LIVIA MARIE REINARTS BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 FELTL RD
MINNETONKA MN
55343-3944
US

IV. Provider business mailing address

17050 LAKESIDE RD
NEW ULM MN
56073-7500
US

V. Phone/Fax

Practice location:
  • Phone: 955-746-5350
  • Fax:
Mailing address:
  • Phone: 955-274-6535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberV000000709000
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: