Healthcare Provider Details
I. General information
NPI: 1578362653
Provider Name (Legal Business Name): READY TO ROLL PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2520 GLEN EAGLES DR
RENO NV
89523-2074
US
IV. Provider business mailing address
2520 GLEN EAGLES DR
RENO NV
89523-2074
US
V. Phone/Fax
- Phone: 920-277-3960
- Fax:
- Phone: 920-277-3960
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANNE
G
HEINRITZ
Title or Position: OWNER
Credential: PT, DPT, ATP
Phone: 775-393-9244