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NPI Code Detail

MEDICARE: GREGORY REIS P.T.

MEDICARE:   GREGORY  REIS  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 Therapist070-006186IL

General Provider Information

NPI Number : 1972519171
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY REIS P.T.
Provider Business Mailing Address
First Line : 160 PROGRESS RD STE 111
Second Line :
City : HANNIBAL
State : MO
Zip : 63401-6630
Country : US
Telephone Number : 217-222-6800
Fax Number : 217-222-0037
Provider Business Practice Location Address
First Line : 4800 MAINE ST # 48-100
Second Line :
City : QUINCY
State : IL
Zip : 62305-5875
Country : US
Telephone Number : 217-222-6800
Fax Number : 217-222-0037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 01/24/2024

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Directions to “ GREGORY REIS P.T.” Practice Location

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