Individual
DR. KELSEY REESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
745 NE 7TH ST, GRANTS PASS, OR 97526-1632
(541) 472-0500
(541) 471-6285
Mailing address
745 NE 7TH ST, GRANTS PASS, OR 97526-1632
(541) 472-0500
(541) 471-6285
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3563
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3094394
PACIFIC SOURCE PROVIDER NUMBER
OR
01
—
880 531 000
REGENCE PROVIDER NUMBER
OR
01
—
R134195
PTAN
OR
Enumeration date
07/04/2006
Last updated
12/28/2015
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