Provider Demographics
NPI:1427400670
Name:REUTER, MICHAEL NUMON (DPT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:NUMON
Last Name:REUTER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8849 WHITNEY DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-7107
Mailing Address - Country:US
Mailing Address - Phone:740-549-7041
Mailing Address - Fax:740-549-7045
Practice Address - Street 1:8849 WHITNEY DR
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-7107
Practice Address - Country:US
Practice Address - Phone:740-549-7041
Practice Address - Fax:740-549-7045
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0164442251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic