Individual
MRS. KAY REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18845
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61183103
MD BLUE SHIELD TRADITIONA
MD
01
—
P00241441
RR MEDICARE
—
01
—
W2660008
MD BLUE SHIELD REGIONAL
MD
Enumeration date
07/20/2006
Last updated
02/29/2008
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