Individual
JACOB REAVIS CODY JACOB REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 NE 50TH ST, OKLAHOMA CITY, OK 73105-1811
(405) 235-7537
Mailing address
6909 NW 43RD ST, BETHANY, OK 73008-2454
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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