Healthcare Provider Details

I. General information

NPI: 1609799501
Provider Name (Legal Business Name): MICHAEL REEVES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6952 HWY 70 S APT 116
NASHVILLE TN
37221-2292
US

IV. Provider business mailing address

6952 HWY 70 S APT 116
NASHVILLE TN
37221-2292
US

V. Phone/Fax

Practice location:
  • Phone: 615-414-3813
  • Fax:
Mailing address:
  • Phone: 615-414-3813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number215389
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: