Healthcare Provider Details

I. General information

NPI: 1912688839
Provider Name (Legal Business Name): JULIANNA REED PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULES REED

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5707 MAIN ST
SPRINGFIELD OR
97478-5426
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 866-483-5378
  • Fax:
Mailing address:
  • Phone: 423-238-8995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP060563T
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02171500
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP060562T
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP042626T
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL26915
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: