Healthcare Provider Details

I. General information

NPI: 1215572029
Provider Name (Legal Business Name): REEL MONITORING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2019
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 INDIAN PAINTBRUSH ST
CASPER WY
82604-3832
US

IV. Provider business mailing address

259 INDIAN PAINTBRUSH ST
CASPER WY
82604-3832
US

V. Phone/Fax

Practice location:
  • Phone: 888-851-3677
  • Fax: 888-851-3671
Mailing address:
  • Phone: 907-341-9751
  • Fax: 866-311-6889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: TERESA CARTER
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 907-341-9751