Provider Demographics
NPI:1932922762
Name:REIMERS, RHONDA SUE (ME ECE/ELE)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:SUE
Last Name:REIMERS
Suffix:
Gender:F
Credentials:ME ECE/ELE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:987 E CLAYBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-1893
Mailing Address - Country:US
Mailing Address - Phone:208-789-3181
Mailing Address - Fax:
Practice Address - Street 1:987 E CLAYBOURNE DR
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-1893
Practice Address - Country:US
Practice Address - Phone:208-789-3181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist