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NPI Code Detail

MEDICARE: MISS KASIE D REED PTA

MEDICARE: MISS KASIE D REED PTA
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
1225200000XPhysical Therapy Assistant06003572AIN

General Provider Information

NPI Number : 1952685596
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KASIE D REED PTA
Provider Business Mailing Address
First Line : 110 S 2ND ST
Second Line :
City : CANNELTON
State : IN
Zip : 47520-1517
Country : US
Telephone Number : 812-719-2883
Fax Number :
Provider Business Practice Location Address
First Line : 712 W 2ND ST
Second Line :
City : LEAVENWORTH
State : IN
Zip : 47137-2264
Country : US
Telephone Number : 812-739-2292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2011
Last Update Date : 09/30/2011

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Directions to “ MISS KASIE D REED PTA” Practice Location

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