Doctor Name: | DR. JAY BRADLEY REED |
NPI Number: | 1811073257 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT DPT OCS CSCS |
License Number: | PT015097/DAPT000200 |
Business Practice Address: | 2230 Woodbury Pike Ste 1 Loysburg, PA - 16659 |
Business Phone Number: | 8147662295 |
Business Fax Number: | 8147662642 |
Mailing Address: | 2230 Woodbury Pike, Ste 1 LOYSBURG |
State: | PA |
Postal Code: | 16659 |
Phone Number: | 8147662295 |
Fax Number: | 8147662642 |
NPI Enumeration Date: | 10/28/2006 |
NPI Last Update Date: | 09/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT015097/DAPT000200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |