Provider Demographics
NPI:1801145263
Name:RENO, CHRISTOPHER (PT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:RENO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3854 MEADOWBROOK LN
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86409-0607
Mailing Address - Country:US
Mailing Address - Phone:781-315-3952
Mailing Address - Fax:781-315-3952
Practice Address - Street 1:1707 E ANDY DEVINE AVE
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86401-6255
Practice Address - Country:US
Practice Address - Phone:928-440-6880
Practice Address - Fax:928-440-6879
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20218225100000X
COPTL.0012751225100000X
AZ10984225100000X
AK2944225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist