| NPI | 1104230671 |
|---|---|
| Former Name | KINDRA KAY REINWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2015000058) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02644) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2017-11-10 |