Provider Demographics
NPI:1710123013
Name:REHM, TODD JAMES (DO)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:JAMES
Last Name:REHM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 RT 9N
Mailing Address - Street 2:
Mailing Address - City:LAKE GEORGE
Mailing Address - State:NY
Mailing Address - Zip Code:12845
Mailing Address - Country:US
Mailing Address - Phone:518-668-2222
Mailing Address - Fax:518-668-5307
Practice Address - Street 1:2309 ROUTE 9N
Practice Address - Street 2:REHM CHIROPRACTIC & MASSAGE CLINIC2309
Practice Address - City:LAKE GEORGE
Practice Address - State:NY
Practice Address - Zip Code:12845
Practice Address - Country:US
Practice Address - Phone:518-668-2222
Practice Address - Fax:518-668-5307
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0083531111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU62852Medicare UPIN
NY56317BMedicare PIN