Individual
REBEKAH REICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1009 UNION ST, VALPARAISO, IN 46383-4529
(219) 464-5236
(219) 464-6897
Mailing address
1009 UNION ST, VALPARAISO, IN 46383-4529
(219) 464-5236
(219) 464-6897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001836A
IN
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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