Provider Demographics
NPI:1265737365
Name:REINBOLD, CHRISTOPHER THOMAS (DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:THOMAS
Last Name:REINBOLD
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 ESTATE ENIGHED
Mailing Address - Street 2:#535
Mailing Address - City:ST. JOHN
Mailing Address - State:VI
Mailing Address - Zip Code:00830-1113
Mailing Address - Country:US
Mailing Address - Phone:310-745-4787
Mailing Address - Fax:
Practice Address - Street 1:5000 ESTATE ENIGHED
Practice Address - Street 2:#535
Practice Address - City:ST. JOHN
Practice Address - State:VI
Practice Address - Zip Code:00830-1113
Practice Address - Country:US
Practice Address - Phone:340-514-2376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37505225100000X
VI164225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist