Provider Demographics
NPI:1366123127
Name:REED, CARRIE
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5651 E ASPEN RD
Mailing Address - Street 2:
Mailing Address - City:FIRTH
Mailing Address - State:NE
Mailing Address - Zip Code:68358-7550
Mailing Address - Country:US
Mailing Address - Phone:402-427-3012
Mailing Address - Fax:
Practice Address - Street 1:5651 E ASPEN RD
Practice Address - Street 2:
Practice Address - City:FIRTH
Practice Address - State:NE
Practice Address - Zip Code:68358-7550
Practice Address - Country:US
Practice Address - Phone:402-427-3012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1863225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist