Individual
NICOLE ELAINE REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9413 APISON PIKE SUITE 108, OOLTEWAH, TN 37363
(423) 396-2100
(423) 396-2670
Mailing address
9413 APISON PIKE STE 108, OOLTEWAH, TN 37363-5628
(423) 396-2100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LMT7751
TN
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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