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NPI Code Detail

MEDICARE: JULIE REEDER PT

MEDICARE: JULIE REEDER PT
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
1225100000XPhysical Therapist01377IA

General Provider Information

NPI Number : 1942847561
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE REEDER PT
Provider Business Mailing Address
First Line : 1796 OTTERVILLE BLVD
Second Line :
City : INDEPENDENCE
State : IA
Zip : 50644-9261
Country : US
Telephone Number : 319-429-3219
Fax Number :
Provider Business Practice Location Address
First Line : 1610 3RD ST NE
Second Line :
City : INDEPENDENCE
State : IA
Zip : 50644-2228
Country : US
Telephone Number : 319-334-7015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2019
Last Update Date : 12/02/2019

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Directions to “ JULIE REEDER PT” Practice Location

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