Healthcare Provider Details

I. General information

NPI: 1952357683
Provider Name (Legal Business Name): JOANNE L REED PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 S PERRY ST STE D
CASTLE ROCK CO
80104-1942
US

IV. Provider business mailing address

1844 CLUB AVE
KINGMAN AZ
86401-4047
US

V. Phone/Fax

Practice location:
  • Phone: 303-814-2865
  • Fax:
Mailing address:
  • Phone: 928-279-3192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number023471-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5693
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP058978T
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: