Provider Demographics
NPI:1306040308
Name:RENO, DANIEL F (RRT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:F
Last Name:RENO
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:852 DUMONT PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-2600
Mailing Address - Country:US
Mailing Address - Phone:314-631-3663
Mailing Address - Fax:
Practice Address - Street 1:11701 BORMAN DR
Practice Address - Street 2:SUITE 280
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-4100
Practice Address - Country:US
Practice Address - Phone:314-983-9555
Practice Address - Fax:314-983-9444
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002031562227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered