Individual
EDWARD R REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7930 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(317) 588-2663
(317) 588-2727
Mailing address
7930 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(317) 588-2663
(317) 588-2727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006976A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05002773A
LICENSE #
IN
Enumeration date
02/29/2008
Last updated
02/29/2008
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