Provider Demographics
NPI:1942619929
Name:REICHL, LAUREN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:REICHL
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 1:519 E CAPITOL AVE
Mailing Address - Street 2:APT 1C
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-2499
Mailing Address - Country:US
Mailing Address - Phone:337-802-6924
Mailing Address - Fax:
Practice Address - Street 1:519 E CAPITOL AVE
Practice Address - Street 2:APT 1C
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-2499
Practice Address - Country:US
Practice Address - Phone:337-802-6924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3839225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist