Provider Demographics
NPI:1972651537
Name:RECKNAGEL, JOSEPH FRED (ATC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:FRED
Last Name:RECKNAGEL
Suffix:
Gender:M
Credentials:ATC
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Mailing Address - Street 1:6624 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3062
Mailing Address - Country:US
Mailing Address - Phone:248-626-8773
Mailing Address - Fax:
Practice Address - Street 1:222 REPUBLIC DR
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-3650
Practice Address - Country:US
Practice Address - Phone:313-216-4132
Practice Address - Fax:313-216-4135
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2013-10-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer