Healthcare Provider Details

I. General information

NPI: 1851593347
Provider Name (Legal Business Name): TC REED DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 06/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 BEECH AVE
FINDLAY OH
45840-4909
US

IV. Provider business mailing address

714 BEECH AVE
FINDLAY OH
45840-4909
US

V. Phone/Fax

Practice location:
  • Phone: 419-425-3338
  • Fax: 419-425-1536
Mailing address:
  • Phone: 419-425-3338
  • Fax: 419-425-1536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberOH 2833
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberOH 2833
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberOH 2833
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberOH2833
License Number StateOH

VIII. Authorized Official

Name: DR. TRENA CORLENE REED
Title or Position: PHYSICIAN
Credential: DPM
Phone: 419-425-3338