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NPI Code Detail

MEDICARE: MADISON REESE DPT

MEDICARE: MADISON REESE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist6421NV

General Provider Information

NPI Number : 1194521765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON REESE DPT
Provider Business Mailing Address
First Line : 8757 COUNTRY PINES AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-7639
Country : US
Telephone Number : 702-860-0920
Fax Number :
Provider Business Practice Location Address
First Line : 3920 W CHARLESTON BLVD STE Y
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1633
Country : US
Telephone Number : 818-894-2273
Fax Number : 818-357-2505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2025
Last Update Date : 05/08/2026

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Directions to “ MADISON REESE DPT” Practice Location

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