Individual
MICHAEL CLARK REED
Active
Individual
MICHAEL CLARK REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, CWS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT914
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W9676
PROVIDER NUMBER
WY
Enumeration date
11/16/2006
Last updated
10/24/2007
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