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NPI Code Detail

MEDICARE: BONNIE REEDER

MEDICARE: BONNIE REEDER
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
1104100000XSocial Worker128707333502UT

General Provider Information

NPI Number : 1811635022
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE REEDER
Provider Business Mailing Address
First Line : 267 E 200 S
Second Line :
City : SMITHFIELD
State : UT
Zip : 84335-1619
Country : US
Telephone Number : 435-557-1307
Fax Number :
Provider Business Practice Location Address
First Line : 1525 N 200 W
Second Line :
City : LOGAN
State : UT
Zip : 84341-2032
Country : US
Telephone Number : 435-528-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2022
Last Update Date : 05/26/2022

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Directions to “ BONNIE REEDER ” Practice Location

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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.

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