=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912108531
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DON REITH, DC, PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/30/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 33255 LEXINGTON AVE SUITE B
-----------------------------------------------------
City | DE SOTO
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66018-7201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-583-3700
-----------------------------------------------------
Fax | 913-585-3036
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 33255 LEXINGTON AVE SUITE B
-----------------------------------------------------
City | DE SOTO
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66018-7201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-583-3700
-----------------------------------------------------
Fax | 913-585-3036
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PA
-----------------------------------------------------
Name | DR. DON REITH
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 913-583-3700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 4963
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------