Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter |
NPI | 1841333911 |
---|---|
Provider Name | Mr. Karlheinz Reichl |
First Address | Temple, TX 76502-5300 |
Second Address | Temple, TX 76502-5300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 28/02/2012 |