Individual
JILL R. REAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
1342 E PRIMROSE ST, SUITE A, SPRINGFIELD, MO 65804-4279
(417) 877-1300
(471) 877-1335
Mailing address
1342 E PRIMROSE ST, SUITE A, SPRINGFIELD, MO 65804-4279
(417) 877-1300
(471) 877-1335
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2002030343
MO
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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