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1689271934 NPI number — AUSTYN JOAN REKER PT, DPT, ATC, LAT

NPI Number: 1689271934
Health Care Provider/Practitioner: AUSTYN JOAN REKER PT, DPT, ATC, LAT

Information about “1689271934” NPI (AUSTYN JOAN REKER PT, DPT, ATC, LAT) exists in 1689271934 in HTML format HTML  |  1689271934 in plain Text format TXT  |  1689271934 in PDF (Portable Document Format) PDF  |  1689271934 in an XML format XML  formats.

NPI Number : 1689271934 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689271934",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REKER",
    "FirstName": "AUSTYN",
    "MiddleName": "JOAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT, ATC, LAT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 5074",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIOUX FALLS",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57117-5074",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-328-6585",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "104 BUNCOMBE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCK RAPIDS",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "51246-1003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "712-472-3333",
    "PracticeLocationAddressFaxNumber": "712-472-2552",
    "EnumerationDate": "10/08/2020",
    "LastUpdateDate": "08/19/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "105382",
        "LicenseNumberStateCode": "IA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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