Provider Demographics
NPI:1194127969
Name:REED, DAVID CHARLES III (PT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CHARLES
Last Name:REED
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7900 MATTHEWS MINT HILL RD STE 107E
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-6567
Mailing Address - Country:US
Mailing Address - Phone:704-774-2114
Mailing Address - Fax:704-565-4285
Practice Address - Street 1:7900 MATTHEWS MINT HILL RD STE 107E
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-6567
Practice Address - Country:US
Practice Address - Phone:704-774-2114
Practice Address - Fax:704-565-4285
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501012444225100000X
NCP13678225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist