MEDICARE: MORGAN ANDERSON-REED, LLC

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	225700000X	Massage Therapist	227011703	IL

General Provider Information

NPI Number	:	1598197493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN ANDERSON-REED, LLC

Provider Business Mailing Address
First Line	:	544 LOCUST ST
Second Line	:
City	:	HAMMOND
State	:	IN
Zip	:	46324-1516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1564 N DAMEN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-2100
Country	:	US
Telephone Number	:	312-488-9831
Fax Number	:

Authorized Official
Title or Position	:	OWNER/LMT
Name	:	MORGAN ANDERSON-REED
Credential	:
Telephone Number	:	414-364-1057

Provider Enumeration Date	:	08/01/2013
Last Update Date	:	08/01/2013

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Directions to “MORGAN ANDERSON-REED, LLC ” Practice Location

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