Healthcare Provider Details

I. General information

NPI: 1497669535
Provider Name (Legal Business Name): JOSEPH RYAN REED PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2752 BOILING SPRINGS RD
BOILING SPRINGS SC
29316-6003
US

IV. Provider business mailing address

571 FRANKLIN ASBERRY LN
INMAN SC
29349-4915
US

V. Phone/Fax

Practice location:
  • Phone: 864-210-9658
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number6791
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: