| Doctor Name: | MR. BRUCE ALAN REEVES |
| NPI Number: | 1003004367 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 3104 |
| Business Practice Address: | 169 Ashley Ave Room, 3sw Wing Charleston, SC - 294258905 |
| Business Phone Number: | 8437923481 |
| Business Fax Number: | 8437920724 |
| Mailing Address: | 169 Ashley Ave, Room, 3sw Wing CHARLESTON |
| State: | SC |
| Postal Code: | 294258905 |
| Phone Number: | 8437923481 |
| Fax Number: | 8437920724 |
| NPI Enumeration Date: | 10/11/2007 |
| NPI Last Update Date: | 10/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 3104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |