Provider Demographics
NPI:1194586784
Name:REESE, ROBBIN L (LMT)
Entity type:Individual
Prefix:MS
First Name:ROBBIN
Middle Name:L
Last Name:REESE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ROBBIN
Other - Middle Name:L
Other - Last Name:REESE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:136 E JOHNSON AVE # 1890
Mailing Address - Street 2:
Mailing Address - City:CHELAN
Mailing Address - State:WA
Mailing Address - Zip Code:98816-9000
Mailing Address - Country:US
Mailing Address - Phone:509-888-5477
Mailing Address - Fax:509-888-5352
Practice Address - Street 1:136 E JOHNSON AVE # 1890
Practice Address - Street 2:
Practice Address - City:CHELAN
Practice Address - State:WA
Practice Address - Zip Code:98816-9000
Practice Address - Country:US
Practice Address - Phone:509-888-5477
Practice Address - Fax:509-888-5352
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023906174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist