Individual
MARY FRANCES REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
903 NW 6TH ST, GAINESVILLE, FL 32601-4252
(352) 336-2740
Mailing address
1744 NW 11TH RD, GAINESVILLE, FL 32605-5322
(352) 338-9045
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA0015829
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5757
BLUE CROSS AND BLUE SHIELD OF FLORIDA
FL
Enumeration date
08/16/2010
Last updated
08/16/2010
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