Healthcare Provider Details

I. General information

NPI: 1063201689
Provider Name (Legal Business Name): ERIN ELIZABETH REESE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S OSTEOPATHY AVE
KIRKSVILLE MO
63501-6401
US

IV. Provider business mailing address

315 S OSTEOPATHY AVE
KIRKSVILLE MO
63501-6401
US

V. Phone/Fax

Practice location:
  • Phone: 660-785-1816
  • Fax:
Mailing address:
  • Phone: 660-785-1816
  • Fax: 660-785-1154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: