Provider Demographics
NPI:1134811540
Name:RODRIGUEZ-CALHOUN, REINA
Entity type:Individual
Prefix:
First Name:REINA
Middle Name:
Last Name:RODRIGUEZ-CALHOUN
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 1:2101 MULTREES XING UNIT 103
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-6994
Mailing Address - Country:US
Mailing Address - Phone:727-709-3332
Mailing Address - Fax:
Practice Address - Street 1:2101 MULTREES XING UNIT 103
Practice Address - Street 2:SUITE 104
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-6994
Practice Address - Country:US
Practice Address - Phone:727-709-3332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA97818225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist