Individual
DUSTIN JAMES REINBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5633 NW 1ST ST, LINCOLN, NE 68521-4465
(402) 434-5905
(402) 434-5902
Mailing address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 434-5905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03154
IA
225100000X
Physical Therapist
Primary
2520
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488759
—
IA
01
—
38762
BC/BS
IA
Enumeration date
11/03/2006
Last updated
06/24/2009
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