Doctor Name: | CHRISTOPHER LEE REID |
NPI Number: | 1669641445 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT2647 |
Business Practice Address: | 4 N Brent Ln Bella Vista, AR - 727142827 |
Business Phone Number: | 4798765811 |
Business Fax Number: | |
Mailing Address: | 4 N Brent Ln, BELLA VISTA |
State: | AR |
Postal Code: | 727142827 |
Phone Number: | 4798765811 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2008 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT2647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |