Provider Demographics
NPI:1487704946
Name:REED, ANDREW THOMAS (PT)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:THOMAS
Last Name:REED
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 SIERRA ROSE DR STE 2A
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-4009
Mailing Address - Country:US
Mailing Address - Phone:775-828-9724
Mailing Address - Fax:775-828-9728
Practice Address - Street 1:615 SIERRA ROSE DR STE 2A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4009
Practice Address - Country:US
Practice Address - Phone:775-828-9724
Practice Address - Fax:775-828-9728
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1063766225100000X
NV2684225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist