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NPI Code Detail

MEDICARE: KATIE REICH RD

MEDICARE:   KATIE  REICH  RD
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
1133V00000XRegistered Dietitian86445293

General Provider Information

NPI Number : 1376497115
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE REICH RD
Provider Business Mailing Address
First Line : 1895 LAKE CIRCLE DR
Second Line :
City : TUPELO
State : MS
Zip : 38801-5813
Country : US
Telephone Number : 901-461-2312
Fax Number :
Provider Business Practice Location Address
First Line : 1895 LAKE CIRCLE DR
Second Line :
City : TUPELO
State : MS
Zip : 38801-5813
Country : US
Telephone Number : 901-461-2312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2026
Last Update Date : 02/26/2026

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Directions to “ KATIE REICH RD” Practice Location

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