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NPI Code Detail

MEDICARE: KYLE ANTHONY REINEN

MEDICARE:   KYLE ANTHONY REINEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1305087TX

General Provider Information

NPI Number : 1619468691
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE ANTHONY REINEN
Provider Business Mailing Address
First Line : PO BOX 291228
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-1828
Country : US
Telephone Number : 303-038-6318
Fax Number : 830-303-8541
Provider Business Practice Location Address
First Line : 419 N KING ST STE 5
Second Line :
City : SEGUIN
State : TX
Zip : 78155-5008
Country : US
Telephone Number : 830-303-8631
Fax Number : 830-303-8541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2018
Last Update Date : 05/24/2018

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Directions to “ KYLE ANTHONY REINEN ” Practice Location

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