Provider Demographics
NPI:1376755926
Name:REINHARD, SARAH ANN (ATC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:REINHARD
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 1:115 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SWANTON
Mailing Address - State:OH
Mailing Address - Zip Code:43558-9233
Mailing Address - Country:US
Mailing Address - Phone:419-825-1289
Mailing Address - Fax:
Practice Address - Street 1:115 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:SWANTON
Practice Address - State:OH
Practice Address - Zip Code:43558-9233
Practice Address - Country:US
Practice Address - Phone:419-825-1289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0011462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer