Provider Demographics
NPI:1346493947
Name:REETZ, PATRICK (PT, MPT, NCS)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:REETZ
Suffix:
Gender:M
Credentials:PT, MPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1719 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-5542
Mailing Address - Country:US
Mailing Address - Phone:562-896-7250
Mailing Address - Fax:
Practice Address - Street 1:1719 TIMBER RIDGE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-5542
Practice Address - Country:US
Practice Address - Phone:562-896-7250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1178926225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist