Individual
DR. TANIA EVON REAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1200 E WOODHURST DR, R300, SPRINGFIELD, MO 65804-4261
(417) 877-1300
Mailing address
1200 E WOODHURST DR, R300, SPRINGFIELD, MO 65804-4261
(417) 877-1300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003027886
MO
Other
Enumeration date
06/25/2007
Last updated
03/20/2009
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