Provider Demographics
NPI:1265638936
Name:REIMERT, DANIELLE KRISTIN (ATC)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:KRISTIN
Last Name:REIMERT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 FAITH DR
Mailing Address - Street 2:
Mailing Address - City:BLANDON
Mailing Address - State:PA
Mailing Address - Zip Code:19510-9767
Mailing Address - Country:US
Mailing Address - Phone:610-916-7684
Mailing Address - Fax:
Practice Address - Street 1:257 FAITH DR
Practice Address - Street 2:
Practice Address - City:BLANDON
Practice Address - State:PA
Practice Address - Zip Code:19510-9767
Practice Address - Country:US
Practice Address - Phone:610-916-7684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0033612255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer