Provider Demographics
NPI:1346644598
Name:LANGI, FATAI
Entity Type:Individual
Prefix:
First Name:FATAI
Middle Name:
Last Name:LANGI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 REGGIE RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-6444
Mailing Address - Country:US
Mailing Address - Phone:775-354-6566
Mailing Address - Fax:
Practice Address - Street 1:4401 REGGIE RD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6444
Practice Address - Country:US
Practice Address - Phone:775-354-6566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2017-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner