MEDICARE: MR. KARLHEINZ REICHL CPED

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
1	224L00000X	Pedorthist
2	225000000X	Orthotic Fitter

General Provider Information

NPI Number	:	1841333911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KARLHEINZ REICHL CPED

Provider Business Mailing Address
First Line	:	517 PEANUT DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-5300
Country	:	US
Telephone Number	:	972-689-0236
Fax Number	:

Provider Business Practice Location Address
First Line	:	517 PEANUT DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-5300
Country	:	US
Telephone Number	:	972-689-0236
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	02/28/2012

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