Provider Demographics
NPI:1386981272
Name:REEDER, LATOYA ARTISHA
Entity type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:ARTISHA
Last Name:REEDER
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 1:16617 LIPTON AVE
Mailing Address - Street 2:16617 LIPTON AVE
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-3615
Mailing Address - Country:US
Mailing Address - Phone:216-854-1520
Mailing Address - Fax:
Practice Address - Street 1:16617 LIPTON AVE
Practice Address - Street 2:16617 LIPTON AVE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-3615
Practice Address - Country:US
Practice Address - Phone:216-854-1520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No172A00000XOther Service ProvidersDriver