Individual
ANGELA LYNN REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
7937 RHEA COUNTY HWY, SUITE 104, DAYTON, TN 37321-5990
(423) 570-0907
(423) 570-0936
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
01
—
3156797
BCBST - GROUP NUMBER
TN
05
—
3646803
—
TN
05
—
5441654
—
TN
Enumeration date
06/02/2006
Last updated
02/04/2011
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