Healthcare Provider Details

I. General information

NPI: 1508761503
Provider Name (Legal Business Name): ROBERT REED L.M.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 4TH ST SW STE C
MASON CITY IA
50401-3836
US

IV. Provider business mailing address

423 4TH ST SW STE C
MASON CITY IA
50401-3836
US

V. Phone/Fax

Practice location:
  • Phone: 515-473-5066
  • Fax:
Mailing address:
  • Phone: 515-473-5066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number110268
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: