Individual
MS. MICHELLE RENE' REINHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSBA, MMP, LMT
Contact information
Practice address
11010 S TOMAH ST, PHOENIX, AZ 85044-1914
(602) 329-8585
Mailing address
11010 S TOMAH ST, PHOENIX, AZ 85044-1914
(480) 447-9665
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MT-17462
AZ
175T00000X
Peer Specialist
MT-17462
AZ
225700000X
Massage Therapist
Primary
MT-17462
AZ
Other
Enumeration date
07/03/2014
Last updated
01/17/2018
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