Healthcare Provider Details

I. General information

NPI: 1417052168
Provider Name (Legal Business Name): TRENA CORLENE REED DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 06/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 BEECH AVE
FINDLAY OH
45840
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 TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number36.002833
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: