Individual
JACKIE REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST,
Contact information
Practice address
4171 LOMAC STREET SUITE F #115, MONTGOMERY, AL 36106-1008
(334) 413-3555
Mailing address
4171 LOMAC STREET SUITE F #115, MONTGOMERY, AL 36106-1008
(334) 413-3555
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
01/31/2022
Last updated
08/14/2025
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