Provider Demographics
NPI:1073805339
Name:REYN, ANTHONY (DPT)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:REYN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7061 S LAREDO ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5113
Mailing Address - Country:US
Mailing Address - Phone:303-680-3933
Mailing Address - Fax:
Practice Address - Street 1:7200 E QUINCY AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2255
Practice Address - Country:US
Practice Address - Phone:303-221-9611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL-11654225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist