Individual
JAMES ROSS REICHELT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN, SSW
Contact information
Practice address
4460 HIGHLAND DR, SUITE 300, SALT LAKE CITY, UT 84124-3543
(801) 273-6356
(801) 273-6363
Mailing address
4255 FORTUNA WAY, SALT LAKE CITY, UT 84124-3349
(801) 274-2675
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
134907-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107030194101
INTERMTN. HEALTH CARE
UT
Enumeration date
01/25/2006
Last updated
07/09/2007
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