Healthcare Provider Details

I. General information

NPI: 1194711267
Provider Name (Legal Business Name): DANIEL J REIDA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 ROUTE 28
SOUTH YARMOUTH MA
02664-5202
US

IV. Provider business mailing address

833 ROUTE 28
SOUTH YARMOUTH MA
02664-5202
US

V. Phone/Fax

Practice location:
  • Phone: 508-394-1353
  • Fax: 508-398-2866
Mailing address:
  • Phone: 508-394-1353
  • Fax: 508-398-2866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHI344
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: