Provider Demographics
NPI:1942380589
Name:REYNOLDS REHABILITATION ENTERPRISES
Entity Type:Organization
Organization Name:REYNOLDS REHABILITATION ENTERPRISES
Other - Org Name:ARTS MEDICINE MINNESOTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-379-0675
Mailing Address - Street 1:43 MAIN ST SE
Mailing Address - Street 2:SUITE #223
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-1029
Mailing Address - Country:US
Mailing Address - Phone:612-331-5757
Mailing Address - Fax:612-331-7557
Practice Address - Street 1:43 MAIN ST SE
Practice Address - Street 2:SUITE #223
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-1029
Practice Address - Country:US
Practice Address - Phone:612-331-5757
Practice Address - Fax:612-331-7557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty