MEDICARE: TIASIA TENAE REESE

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	376J00000X	Homemaker		OH
2	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1861324345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIASIA TENAE REESE

Provider Business Mailing Address
First Line	:	7040 GLENMEADOW LN APT D
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3023
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7040 GLENMEADOW LN APT D
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3023
Country	:	US
Telephone Number	:	283-230-7641
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ TIASIA TENAE REESE ” Practice Location

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