Individual
DR. JOHN RICHARD REINWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1939 WILMINGTON DR, FORT COLLINS, CO 80528-6404
(970) 377-1422
(970) 377-1839
Mailing address
1939 WILMINGTON DR, SUITE 101, FORT COLLINS, CO 80528-6404
(970) 377-1422
(970) 377-1839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11257
CO
2251G0304X
Geriatric Physical Therapist
11257
CO
2251N0400X
Neurology Physical Therapist
11257
CO
2251S0007X
Sports Physical Therapist
11257
CO
2251X0800X
Orthopedic Physical Therapist
11257
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11257
PHYSICAL THERAPY LICENSE
CO
Enumeration date
01/06/2012
Last updated
09/05/2013
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