Provider Demographics
NPI:1760806251
Name:REINES, ALLISON A (RRT)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:A
Last Name:REINES
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:A
Other - Last Name:REINES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RRT
Mailing Address - Street 1:PO BOX 2617
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MT
Mailing Address - Zip Code:59911-2617
Mailing Address - Country:US
Mailing Address - Phone:406-212-6190
Mailing Address - Fax:
Practice Address - Street 1:225 N JACKSON AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1603
Practice Address - Country:US
Practice Address - Phone:408-259-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARCP 34637227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered