Individual
KISCHA SEDONNA REED
Active
Individual
KISCHA SEDONNA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548208887
BCBS
GA
01
—
1548208887
TRICARE
—
Enumeration date
06/02/2006
Last updated
02/05/2009
Update your record
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