Individual
MR. REID L MOLEN JR.
Active
Individual
MR. REID L MOLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
105054-2401
UT
225100000X
Physical Therapist
Primary
86PT
MT
225100000X
Physical Therapist
9141
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000083326
MEDICARE - GROUP NUMBER
MT
05
—
0349154
—
MT
01
—
196546100
US DEPT. OF LABOR
MT
01
—
942822815003
EBMS
MT
01
—
942822815B004
TRICARE
MT
Enumeration date
09/21/2005
Last updated
05/10/2023
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