Individual
ELIZABETH ANNE REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 WHITTINGTON PKWY, LOUISVILLE, KY 40222-4927
(502) 429-1249
Mailing address
310 WHITTINGTON PKWY, LOUISVILLE, KY 40222-4927
(502) 429-1249
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
222Q00000X
Developmental Therapist
201132814
KY
Other
Enumeration date
04/18/2012
Last updated
06/17/2024
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