Provider Demographics
NPI:1639612534
Name:REHL, PETER (DC)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:REHL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 3RD ST STE 130
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-2617
Mailing Address - Country:US
Mailing Address - Phone:510-253-2600
Mailing Address - Fax:833-281-9668
Practice Address - Street 1:1155 3RD ST STE 130
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-2617
Practice Address - Country:US
Practice Address - Phone:510-253-2600
Practice Address - Fax:833-281-9668
Is Sole Proprietor?:No
Enumeration Date:2016-11-23
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor