Healthcare Provider Details

I. General information

NPI: 1962011155
Provider Name (Legal Business Name): EMILY REED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 S WATER ST
PITTSBURGH PA
15203-2307
US

IV. Provider business mailing address

5208 GLEN HEATHER DR
FLOWER MOUND TX
75028-6035
US

V. Phone/Fax

Practice location:
  • Phone: 855-937-7678
  • Fax:
Mailing address:
  • Phone: 214-732-6341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number1408458
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: