Individual
BRENT REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 SW 37TH ST, PENDLETON, OR 97801-3605
(541) 276-3374
Mailing address
3133 STARR ST, LINCOLN, NE 68503-1938
(308) 991-7102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1625
NE
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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