| Doctor Name: | BLAKE DAVID REINKE |
| NPI Number: | 1225326754 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 004814 |
| Business Practice Address: | 1008 18th St Spirit Lake, IA - 513601014 |
| Business Phone Number: | 7125461718 |
| Business Fax Number: | |
| Mailing Address: | Po Box 921, LE MARS |
| State: | IA |
| Postal Code: | 510310921 |
| Phone Number: | 7125461718 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2011 |
| NPI Last Update Date: | 06/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 004814 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |