Individual
MR. KEVIN DAVID REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
WINDOW ROCK SCHOOLS, NAVAJO ROUTE 12, FORT DEFIANCE, AZ 86504-0559
(928) 729-6705
(928) 729-5780
Mailing address
PO BOX 378, FORT DEFIANCE, AZ 86504-0378
(928) 729-6767
(928) 729-7630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3527
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
689804
AHCCCS
AZ
Enumeration date
03/13/2007
Last updated
07/08/2007
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