Provider Demographics
NPI:1790762631
Name:REINERT, BERNARD E (PT)
Entity Type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:E
Last Name:REINERT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 E 13TH ST N
Mailing Address - Street 2:36 RAINTREE VILLAGE
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-1254
Mailing Address - Country:US
Mailing Address - Phone:316-634-2765
Mailing Address - Fax:
Practice Address - Street 1:1507 W 21ST ST N
Practice Address - Street 2:SUITE 2
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2449
Practice Address - Country:US
Practice Address - Phone:316-838-4000
Practice Address - Fax:316-838-4783
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-00564225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist