Provider Demographics
NPI:1104341148
Name:REED, COBY JAMISON (ATC)
Entity type:Individual
Prefix:
First Name:COBY
Middle Name:JAMISON
Last Name:REED
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WILMOTT ST.
Mailing Address - Street 2:ROOM A FLAT B27 CAVENDISH PLACE
Mailing Address - City:MANCHESTER
Mailing Address - State:GREATER MANCHESTER
Mailing Address - Zip Code:M15 6AS
Mailing Address - Country:GB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ALL SAINTS
Practice Address - Street 2:ALL SAINTS BUILDING
Practice Address - City:MANCHESTER
Practice Address - State:GREATER MANCHESTER
Practice Address - Zip Code:M15 6BH
Practice Address - Country:GB
Practice Address - Phone:016-124-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-10
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
20000364362255A2300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer