Provider Demographics
NPI:1588407852
Name:REINKE, KALEY RAE (AUD)
Entity type:Individual
Prefix:DR
First Name:KALEY
Middle Name:RAE
Last Name:REINKE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KALEY
Other - Middle Name:RAE
Other - Last Name:LUDWIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:708 17TH ST
Mailing Address - Street 2:
Mailing Address - City:MOSINEE
Mailing Address - State:WI
Mailing Address - Zip Code:54455-1033
Mailing Address - Country:US
Mailing Address - Phone:715-574-6051
Mailing Address - Fax:
Practice Address - Street 1:512 S 28TH AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4147
Practice Address - Country:US
Practice Address - Phone:715-847-2021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-14
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist