Healthcare Provider Details

I. General information

NPI: 1760688956
Provider Name (Legal Business Name): REEVES CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 W WALLACE ST STE 7
SAN SABA TX
76877-3950
US

IV. Provider business mailing address

2005 W WALLACE ST STE 7
SAN SABA TX
76877-3950
US

V. Phone/Fax

Practice location:
  • Phone: 325-372-4062
  • Fax: 325-372-6086
Mailing address:
  • Phone: 325-372-4062
  • Fax: 325-372-6086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8589
License Number StateTX

VIII. Authorized Official

Name: VICKY DEAVER
Title or Position: OFFICE MANAGER
Credential:
Phone: 325-372-4062