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General NPI Number Information
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NPI Number | 1952192213
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Entity Type | Individual
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Provider Name | CHRISTOPHER ETHAN REICHLE PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 7887 WOLF RIVER BLVD
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City | GERMANTOWN
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State | TN
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Zip | 38138-1718
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Country | US
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Telephone | 901-759-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 583 GREENSCAPE CIR # 1-306
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City | CORDOVA
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State | TN
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Zip | 38018-1131
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Country | US
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Telephone | 662-385-3534
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT7834
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License Number State | MS
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