=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831989110
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | APRIL RAYNE REITER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/09/2025
-----------------------------------------------------
Last Update Date | 05/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 40 MORRIS AVE STE 100A
-----------------------------------------------------
City | BRYN MAWR
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19010-3300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-457-5979
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 318 CLAIREMONT RD
-----------------------------------------------------
City | VILLANOVA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19085-1704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | MSG010686
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------