1. Home
  2. Directory
  3. Wisconsin
  4. De Pere
  5. Massage Therapist
  6. NPI Profile

RUSSELL LYLE JOHN REIMER JR. LMT
NPI 1467271239
Massage Therapist in De Pere, WI

Active since October 08, 2024
109 N WISCONSIN ST, DE PERE, WI 54115(920) 544-6840 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Russell Lyle John Reimer Jr. Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL LYLE JOHN REIMER JR. LMT (NPI 1467271239) is an individual massage therapist in De Pere, Wisconsin, licensed in Wisconsin (12421-46) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1467271239
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameRUSSELL LYLE JOHN REIMER JR.Credential: LMT
Location Address109 N WISCONSIN STDe Pere, WI 54115
Mailing Address1140 Moraine Way Apt 39Green Bay, WI 54303-9436 · (920) 544-6840
Phone(920) 544-6840
Sole ProprietorYes
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 4, 2024
✔ NPI 1467271239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WI · 12421-46
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
109 N WISCONSIN ST, De Pere, WI 54115
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Reimer's NPI number?

The NPI number for Russell Reimer is 1467271239. It was assigned to this individual provider in the NPPES registry on October 8, 2024.

Where is Russell Reimer located?

Russell Reimer practices at 109 N Wisconsin St, De Pere, WI 54115. The listed phone number is (920) 544-6840.

What is Russell Reimer's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Russell Reimer was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.