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General NPI Number Information
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NPI Number | 1861344715
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Entity Type | Organization
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Legal Business Name | REEVERTS REHABILITATION AND PERFORMANCE TRAINING
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 4944 OLD STATE ROUTE 261 SUITE 3
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City | NEWBURGH
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State | IN
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Zip | 47630
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Country | US
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Telephone | 815-876-7543
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Fax |
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Provider Business Mailing Address
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Address Line | 6080 MAYFIELD CT
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City | NEWBURGH
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State | IN
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Zip | 47630-2227
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Country | US
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Telephone | 815-876-7543
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAKE REEVERTS
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Credential |
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Telephone | 815-876-7543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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