MEDICARE: MRS. VENODIA REAVES OTR.

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
1	171M00000X	Case Manager/Care Coordinator	206-026	WI
2	172V00000X	Community Health Worker	206-026	WI

General Provider Information

NPI Number	:	1427208057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VENODIA REAVES OTR.

Provider Business Mailing Address
First Line	:	9321 N 85TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53224-1310
Country	:	US
Telephone Number	:	414-354-7094
Fax Number	:

Provider Business Practice Location Address
First Line	:	2409 N 36TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-3040
Country	:	US
Telephone Number	:	414-875-8892
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2008
Last Update Date	:	09/18/2008

Similar Medicare Providers

1326263146 — MRS. KATHARINE ANN ELSBREE MS CCC SLP
Practice Location Address:

2449 N 36TH ST
MILWAUKEE, WI
53210-3040

Practice Phone: 414-445-8020
Practice Fax:

1851088850 — KAY'S HEART LLC
Practice Location Address:

2403 N 36TH ST
MILWAUKEE, WI
53210-3040

Practice Phone: 414-499-7873
Practice Fax:

1679353148 — COMMUNITY TRANSPORTATION ADVANTAGE LLC
Practice Location Address:

3040 N 56TH ST
MILWAUKEE, WI
53210-1529

Practice Phone: 262-424-1020
Practice Fax:

1972441897 — LAKEISHA BALL
Practice Location Address:

2449 N 36TH ST
MILWAUKEE, WI
53210-3040

Practice Phone: 414-445-8020
Practice Fax:

1699617688 — KAYLEE ANN GALLETT
Practice Location Address:

2449 N 36TH ST
MILWAUKEE, WI
53210-3040

Practice Phone: 414-445-8020
Practice Fax:

1215380746 — WISCONSIN LUTHERAN CHILD & FAMILY SERVICE
Practice Location Address:

3040 W CAPITOL DR
MILWAUKEE, WI
53216-2618

Practice Phone: 800-438-1772
Practice Fax: 262-293-9737

Directions to “ MRS. VENODIA REAVES OTR.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.