Individual
MRS. LAURA B. REAGAN
Active
Individual
MRS. LAURA B. REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000006366
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1213804
CHA
TN
05
—
3659342
—
TN
01
—
4084962
BCBS
TN
01
—
522444470
CENTER CARE
TN
01
—
6366
BLUEGRASS FAMILY HEALTH
TN
01
—
9358258
PHCS
TN
01
—
P00138386
RAILROAD MEDICARE
TN
Enumeration date
12/29/2005
Last updated
07/20/2021
Update your record
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