Provider Demographics
NPI:1710479183
Name:REICHMANN, ASHTON W (DPT)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:W
Last Name:REICHMANN
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 1:4082 N HOOVER CT STE 100
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-8917
Mailing Address - Country:US
Mailing Address - Phone:316-804-8054
Mailing Address - Fax:888-520-0057
Practice Address - Street 1:4082 N HOOVER CT STE 100
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-8917
Practice Address - Country:US
Practice Address - Phone:316-804-8054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-01
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist