Healthcare Provider Details

I. General information

NPI: 1841362407
Provider Name (Legal Business Name): REED A PRYOR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 LAPORTE RD
WATERLOO IA
50702-2741
US

IV. Provider business mailing address

1955 LAPORTE RD
WATERLOO IA
50702-2741
US

V. Phone/Fax

Practice location:
  • Phone: 319-232-2166
  • Fax: 319-232-0844
Mailing address:
  • Phone: 319-232-2166
  • Fax: 319-232-0844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberA05697
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: