Provider Demographics
NPI:1962824854
Name:REICHMAN, JAMES C (DPT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:REICHMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 E 1200 S
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-6603
Mailing Address - Country:US
Mailing Address - Phone:801-939-3535
Mailing Address - Fax:801-939-3534
Practice Address - Street 1:839 E 1200 S
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097
Practice Address - Country:US
Practice Address - Phone:801-939-3535
Practice Address - Fax:801-939-3534
Is Sole Proprietor?:No
Enumeration Date:2014-01-10
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8881878-8016225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist