Doctor Name: | TAMMY LYNN REID |
NPI Number: | 1841499126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5747-024 |
Business Practice Address: | 3601 S Chicago Ave South Milwaukee, WI - 531723708 |
Business Phone Number: | 4147644100 |
Business Fax Number: | 4147649631 |
Mailing Address: | 1247 N 85th St, WAUWATOSA |
State: | WI |
Postal Code: | 532263251 |
Phone Number: | 4144763132 |
Fax Number: | 4144760637 |
NPI Enumeration Date: | 07/16/2007 |
NPI Last Update Date: | 07/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5747-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |