Individual
MR. MICHAEL T REISTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1400 GLORIA TERRELL DRIVE, SUITE G, WILDER, KY 41076-9189
(859) 781-2800
(859) 781-3500
Mailing address
2587 SIERRA DR, VILLA HILLS, KY 41017-1056
(859) 344-8663
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
003561
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700077400
—
KY
Enumeration date
06/27/2005
Last updated
07/09/2007
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