Individual
DR. BETSY REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
96 E KIMBALLS LN STE 207, DRAPER, UT 84020-5025
(801) 576-2300
(844) 249-1746
Mailing address
PO BOX 100253, ATLANTA, GA 30384-0253
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
11082695-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073795258
—
UT
01
—
OT 014786
LICENSE
PA
Enumeration date
06/25/2012
Last updated
12/18/2024
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