Provider Demographics
NPI:1467462614
Name:REICHLEY, DAVID J (MPT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:REICHLEY
Suffix:
Gender:M
Credentials:MPT
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Mailing Address - Street 1:PO BOX 803
Mailing Address - Street 2:1195 HISEY AVENUE WOODSTOCK REHAB & FITNESS
Mailing Address - City:WOODSTOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22664
Mailing Address - Country:US
Mailing Address - Phone:540-459-7772
Mailing Address - Fax:540-459-7782
Practice Address - Street 1:1195 HISEY AVENUE
Practice Address - Street 2:WOODSTOCK REHAB & FITNESS
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664
Practice Address - Country:US
Practice Address - Phone:540-459-7772
Practice Address - Fax:540-459-7782
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0105005306225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
195498OtherANTHEM
541974261OtherCOMERCIAL
2230258OtherFIRST HEALTH
2230258OtherFIRST HEALTH