Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 226300000X | Kinesiotherapist | 2000002491 | HI |
NPI | 1487083986 |
---|---|
Provider Name | Ms. Lauren Alicia Reinert |
First Address | Haleiwa, HI 96712-1440 |
Second Address | Haleiwa, HI 96712-1440 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2013 |
Last Update Date | 18/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AT-89 | ATHLETIC TRAINER (01) | HI |