MEDICARE: TARA REED

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	225X00000X	Occupational Therapist	1702006	KS

General Provider Information

NPI Number	:	1689805343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA REED

Provider Business Mailing Address
First Line	:	746 OHIO ST
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66044-2364
Country	:	US
Telephone Number	:	785-272-1535
Fax Number	:

Provider Business Practice Location Address
First Line	:	746 OHIO ST
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66044-2364
Country	:	US
Telephone Number	:	785-272-1535
Fax Number	:

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

Provider Enumeration Date	:	07/29/2009
Last Update Date	:	01/29/2025

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Directions to “ TARA REED ” Practice Location

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