MEDICARE: LAKYN JEANE REEVES

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	225100000X	Physical Therapist	09980	LA

General Provider Information

NPI Number	:	1598447377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKYN JEANE REEVES

Provider Business Mailing Address
First Line	:	146 LUCIEN JONES RD
Second Line	:
City	:	LONGVILLE
State	:	LA
Zip	:	70652-4516
Country	:	US
Telephone Number	:	337-396-4071
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 N PINE ST
Second Line	:
City	:	DERIDDER
State	:	LA
Zip	:	70634-3546
Country	:	US
Telephone Number	:	337-396-4071
Fax Number	:

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

Provider Enumeration Date	:	08/02/2023
Last Update Date	:	09/17/2025

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Directions to “ LAKYN JEANE REEVES ” Practice Location

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