MEDICARE: HANNAH ANN REINHARD ATC

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	2255A2300X	Athletic Trainer	005005	OH

General Provider Information

NPI Number	:	1962026963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH ANN REINHARD ATC

Provider Business Mailing Address
First Line	:	262 COURTLAND BLVD
Second Line	:
City	:	EASTLAKE
State	:	OH
Zip	:	44095-1039
Country	:	US
Telephone Number	:	440-479-9415
Fax Number	:

Provider Business Practice Location Address
First Line	:	8655 MARKET ST
Second Line	:
City	:	MENTOR
State	:	OH
Zip	:	44060-4112
Country	:	US
Telephone Number	:	440-833-2010
Fax Number	:

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

Provider Enumeration Date	:	06/04/2020
Last Update Date	:	06/04/2020

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