Healthcare Provider Details

I. General information

NPI: 1346350360
Provider Name (Legal Business Name): WHITNEY REESE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10526 W PARMER LN STE 403
AUSTIN TX
78717-5057
US

IV. Provider business mailing address

1324 COMMON ST
NEW BRAUNFELS TX
78130-3565
US

V. Phone/Fax

Practice location:
  • Phone: 512-900-3302
  • Fax: 512-900-3321
Mailing address:
  • Phone: 830-625-7310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1169601
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: