Healthcare Provider Details

I. General information

NPI: 1306276340
Provider Name (Legal Business Name): ANDREA REED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2013
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10004 MONTGOMERY RD
MONTGOMERY OH
45242-5322
US

IV. Provider business mailing address

4440 GLEN ESTE WITHAMSVILLE RD STE 1500
CINCINNATI OH
45245-1335
US

V. Phone/Fax

Practice location:
  • Phone: 513-800-0848
  • Fax:
Mailing address:
  • Phone: 513-753-2133
  • Fax: 513-753-1804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT014251
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: