Provider Demographics
NPI:1285171041
Name:REED, CHELSEA (DOTR/L)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:DOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GOLDEN LEAF LN
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-4394
Mailing Address - Country:US
Mailing Address - Phone:828-216-1261
Mailing Address - Fax:
Practice Address - Street 1:151 CENTURY DR.
Practice Address - Street 2:122F
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607
Practice Address - Country:US
Practice Address - Phone:828-216-1261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4860225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist