Individual
ALLIE SWAYDE REEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
389 BRADLEY ROAD 48, HERMITAGE, AR 71647-9264
(870) 820-9920
Mailing address
389 BRADLEY ROAD 48, HERMITAGE, AR 71647-9264
(870) 820-9920
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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