Provider Demographics
NPI:1073807822
Name:REITH, TRACY ANN (PTA)
Entity Type:Individual
Prefix:MS
First Name:TRACY
Middle Name:ANN
Last Name:REITH
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 CLAIRE ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9315
Mailing Address - Country:US
Mailing Address - Phone:484-225-0855
Mailing Address - Fax:
Practice Address - Street 1:1150 CLAIRE ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9315
Practice Address - Country:US
Practice Address - Phone:484-225-0855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant