Doctor Name: | MIRIAM L. REID |
NPI Number: | 1649479122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L, LMBT |
License Number: | 1245 |
Business Practice Address: | 216 E Chatham St Suite 110 Cary, NC - 275113495 |
Business Phone Number: | 9194669494 |
Business Fax Number: | 9195573887 |
Mailing Address: | 216 E Chatham St, Suite 110 CARY |
State: | NC |
Postal Code: | 275113495 |
Phone Number: | 9194669494 |
Fax Number: | 9195573887 |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 1245 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |