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NPI Code Detail

MEDICARE: KRISTIN L REESE MPT

MEDICARE: KRISTIN L REESE MPT
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 Therapist005041KY

General Provider Information

NPI Number : 1578633004
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN L REESE MPT
Provider Business Mailing Address
First Line : 4390 CLEARWATER WAY APT 3104
Second Line :
City : LEXINGTON
State : KY
Zip : 40515-6394
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1010 MONARCH ST
Second Line : SUITE 150
City : LEXINGTON
State : KY
Zip : 40513-1892
Country : US
Telephone Number : 859-219-0211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 07/08/2007

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Directions to “ KRISTIN L REESE MPT” Practice Location

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