=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629263025
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CINDY A REESE A.R.R.T., C.D.T.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2007
-----------------------------------------------------
Last Update Date | 01/07/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1614 SCRIPTURE ST SUITE 5
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76201-3837
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-484-4874
-----------------------------------------------------
Fax | 940-387-0838
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1614 SCRIPTURE ST SUITE 5
-----------------------------------------------------
City | DENTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76201-3837
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-484-4874
-----------------------------------------------------
Fax | 940-387-0838
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2471B0102X
-----------------------------------------------------
Taxonomy Name | Bone Densitometry Radiologic Technologist
-----------------------------------------------------
License Number | 11381
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------