Provider Demographics
NPI:1750830816
Name:REICH, REANNA (DPT)
Entity Type:Individual
Prefix:DR
First Name:REANNA
Middle Name:
Last Name:REICH
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 1:5010 W PARSONS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85083-5454
Mailing Address - Country:US
Mailing Address - Phone:602-799-3333
Mailing Address - Fax:
Practice Address - Street 1:6320 W UNION HILLS DR STE 265
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1098
Practice Address - Country:US
Practice Address - Phone:623-374-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-29
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7841225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist