Basic Information
Provider Information
NPI: 1235246000
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RHEINS
FirstName: TODD
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 129 KINGS CHAPEL RD
Address2:  
City: AUGUSTA
State: GA
PostalCode: 309074005
CountryCode: US
TelephoneNumber: 7067330188
FaxNumber:  
Practice Location
Address1: 1 FREEDOM WAY
Address2:  
City: AUGUSTA
State: GA
PostalCode: 30904
CountryCode: US
TelephoneNumber: 7067330188
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/25/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X05665GAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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