Individual
CARLA RENEE REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
194 TOM NEAL RD, PINE KNOT, KY 42635-9239
(606) 310-3749
Mailing address
194 TOM NEAL RD, PINE KNOT, KY 42635-9239
(606) 310-3749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004606A
IN
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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