Provider Demographics
NPI:1821709437
Name:REUVERS, ISABEL CECEIL
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:CECEIL
Last Name:REUVERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 250TH ST E
Mailing Address - Street 2:
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-8298
Mailing Address - Country:US
Mailing Address - Phone:507-384-2444
Mailing Address - Fax:
Practice Address - Street 1:1135 250TH ST E
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-8298
Practice Address - Country:US
Practice Address - Phone:507-384-2444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer