Healthcare Provider Details

I. General information

NPI: 1295756971
Provider Name (Legal Business Name): TERESA L EMM-REEDY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4021 HWY 95 N
SCHURZ NV
89427-0426
US

IV. Provider business mailing address

PO BOX 426 4021 HWY 95 N
SCHURZ NV
89427-0426
US

V. Phone/Fax

Practice location:
  • Phone: 775-945-2298
  • Fax: 775-945-2262
Mailing address:
  • Phone: 775-945-2298
  • Fax: 775-945-2262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number0632
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: