MEDICARE: DANIEL CHISTOPHER REED DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN1001X	Nutrition Chiropractor	1301	LA

General Provider Information

NPI Number	:	1265553127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL CHISTOPHER REED DC

Provider Business Mailing Address
First Line	:	1417 W MORRIS AVE
Second Line	:	SUITE E
City	:	HAMMOND
State	:	LA
Zip	:	70403-3854
Country	:	US
Telephone Number	:	985-542-1770
Fax Number	:	985-542-1742

Provider Business Practice Location Address
First Line	:	1417 W MORRIS AVE
Second Line	:	SUITE E
City	:	HAMMOND
State	:	LA
Zip	:	70403-3854
Country	:	US
Telephone Number	:	985-542-1770
Fax Number	:	985-542-1742

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	07/08/2007

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