Provider Demographics
NPI:1538702592
Name:REEGER, TERESA (DPT)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:REEGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:SHELOCTA
Mailing Address - State:PA
Mailing Address - Zip Code:15774-8739
Mailing Address - Country:US
Mailing Address - Phone:724-388-6604
Mailing Address - Fax:
Practice Address - Street 1:2010 SHELLY DR
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-2388
Practice Address - Country:US
Practice Address - Phone:724-349-2276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005978L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist