Individual
KEVIN DONALD REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
999 WILLAMETTE ST, EUGENE, OR 97401-3112
(541) 687-9314
(888) 972-6544
Mailing address
2345 MCMILLAN ST, EUGENE, OR 97405-2861
(541) 285-1434
(888) 972-6544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1991
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028312
—
OR
Enumeration date
08/05/2006
Last updated
04/08/2016
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