# RETT JENSEN REBER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629350582
- **Gender:** Man
- **Credential:** PT, DPT, OCS, SCS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1211061 | TX | — |
| 225100000X | Physical Therapist | CP027707T | UT | Yes |
| 2251S0007X | Sports Physical Therapist | 9882 | SC | — |

## Other

- **Enumeration date:** 09/15/2011
- **Last updated:** 06/20/2024