Provider Demographics
NPI:1003583303
Name:REED PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:REED PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:HAL
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:865-604-9019
Mailing Address - Street 1:4923 OWL HOLE GAP RD
Mailing Address - Street 2:
Mailing Address - City:RUTLEDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37861-4447
Mailing Address - Country:US
Mailing Address - Phone:865-604-9019
Mailing Address - Fax:
Practice Address - Street 1:2024 E ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-5410
Practice Address - Country:US
Practice Address - Phone:865-604-9019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty