Mary Lynn Reigstad, CMT

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

412 19TH Ave SW
Willmar, MN 56201-5297

Phone

(320) 222-4958

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801960570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015297",
            "telephone_number": "320-222-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015297",
            "telephone_number": "320-222-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIGSTAD",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE NEEDED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Monica Rassat
• Nicholas Marshall Ray, D.O
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• Reflections Family Dental
• Katherine Faith Reigstad, M.D.
• Matthew Scott Reinertson, ATC, OTC
• Rem South Central, Inc.
• Greg Lee Reuss, LADC
• Reverence for Life and Concern for People Inc (Project Turnabout)
• Bryan Ricci, MD

• Specialist in Willmar, MN
• Providers in Willmar, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.