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NPI Code Detail

MEDICARE: MRS. AMY MELISSA REED P.T

MEDICARE: MRS. AMY MELISSA REED P.T
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 Therapist1113256TX

General Provider Information

NPI Number : 1366732067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY MELISSA REED P.T
Provider Business Mailing Address
First Line : 1441 MIDLOTHIAN PKWY STE 170
Second Line :
City : MIDLOTHIAN
State : TX
Zip : 76065-5597
Country : US
Telephone Number : 972-723-0380
Fax Number : 972-723-0276
Provider Business Practice Location Address
First Line : 1441 MIDLOTHIAN PKWY STE 170
Second Line :
City : MIDLOTHIAN
State : TX
Zip : 76065-5597
Country : US
Telephone Number : 972-723-0380
Fax Number : 972-723-0276
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2011
Last Update Date : 04/14/2011

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