Healthcare Provider Details

I. General information

NPI: 1215510698
Provider Name (Legal Business Name): HOPE ELAINE REECE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 S SAN FRANCISCO STREET
FLAGSTAFF AZ
86011-0001
US

IV. Provider business mailing address

55 SOUTHWEST DR
SEDONA AZ
86336-3723
US

V. Phone/Fax

Practice location:
  • Phone: 928-523-2131
  • Fax:
Mailing address:
  • Phone: 928-282-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-002664
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: