Provider Demographics
NPI:1932530409
Name:LAUREN A. REINERT
Entity Type:Organization
Organization Name:LAUREN A. REINERT
Other - Org Name:CONTEMPORARY SPORTS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:REINERT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ATC
Authorized Official - Phone:808-673-0060
Mailing Address - Street 1:66-150 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-1440
Mailing Address - Country:US
Mailing Address - Phone:808-673-0060
Mailing Address - Fax:808-356-1084
Practice Address - Street 1:66-150 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:HALEIWA
Practice Address - State:HI
Practice Address - Zip Code:96712-1440
Practice Address - Country:US
Practice Address - Phone:808-673-0060
Practice Address - Fax:808-356-1084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty