Provider Demographics
NPI:1164822698
Name:DR. REESE, INC.
Entity Type:Organization
Organization Name:DR. REESE, INC.
Other - Org Name:PINNACLE SPORT & SPINE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:REESE
Authorized Official - Middle Name:R
Authorized Official - Last Name:PETERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-289-7171
Mailing Address - Street 1:2418 S 18TH ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-6827
Mailing Address - Country:US
Mailing Address - Phone:563-503-1466
Mailing Address - Fax:
Practice Address - Street 1:2344 CAMANCHE AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-6034
Practice Address - Country:US
Practice Address - Phone:563-289-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty