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NPI Code Detail

MEDICARE: GAYLE REED M.A., P.T

MEDICARE: GAYLE REED M.A., P.T
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 TherapistPT12444FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y012HOTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1952304693
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAYLE REED M.A., P.T
Provider Business Mailing Address
First Line : 14400 LEE RD
Second Line :
City : WIMAUMA
State : FL
Zip : 33598-7400
Country : US
Telephone Number : 941-776-1290
Fax Number : 941-776-2528
Provider Business Practice Location Address
First Line : 12159 US HIGHWAY 301 N
Second Line :
City : PARRISH
State : FL
Zip : 34219-8678
Country : US
Telephone Number : 941-776-5585
Fax Number : 941-776-5655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2005
Last Update Date : 07/23/2020

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