Healthcare Provider Details

I. General information

NPI: 1821909490
Provider Name (Legal Business Name): BRANDI REED LMT, MMP, CLDT,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1486 MUNFORD AVE
MUNFORD TN
38058-6742
US

IV. Provider business mailing address

1486 MUNFORD AVE
MUNFORD TN
38058-6742
US

V. Phone/Fax

Practice location:
  • Phone: 901-430-4336
  • Fax:
Mailing address:
  • Phone: 901-430-4336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number13918
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: