Individual
BLAKE DAVID REINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1008 18TH ST, SPIRIT LAKE, IA 51360-1014
(712) 546-1718
Mailing address
PO BOX 921, LE MARS, IA 51031-0921
(712) 546-1718
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
004814
IA
Other
Enumeration date
07/18/2011
Last updated
06/19/2013
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