Healthcare Provider Details

I. General information

NPI: 1417713959
Provider Name (Legal Business Name): REED INTEGRATIVE THERAPEUTIC ARTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 CORNELIA AVE
SAINT LOUIS MO
63119-1824
US

IV. Provider business mailing address

606 CORNELIA AVE
SAINT LOUIS MO
63119-1824
US

V. Phone/Fax

Practice location:
  • Phone: 702-443-8038
  • Fax: 831-401-2429
Mailing address:
  • Phone: 702-443-8038
  • Fax: 831-401-2429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: RITA LEWIS
Title or Position: CEO
Credential:
Phone: 702-443-8038