Healthcare Provider Details
I. General information
NPI: 1346369196
Provider Name (Legal Business Name): REED CHIROPRACTIC HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11030 N TATUM BLVD STE 102
PHOENIX AZ
85028-6073
US
IV. Provider business mailing address
5555 N 7TH ST STE 134-166
PHOENIX AZ
85014-2584
US
V. Phone/Fax
- Phone: 602-494-3037
- Fax: 602-680-3933
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 7441 |
| License Number State | AZ |
VIII. Authorized Official
Name:
HEATHER
C
REED
Title or Position: OWNER
Credential: DC
Phone: 602-705-9363