Provider Demographics
NPI:1225593155
Name:REEVE, BRENT AARON (DC)
Entity Type:Individual
Prefix:MR
First Name:BRENT
Middle Name:AARON
Last Name:REEVE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4582 W RIVER DR NE STE F
Mailing Address - Street 2:
Mailing Address - City:COMSTOCK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:49321-8941
Mailing Address - Country:US
Mailing Address - Phone:616-856-8858
Mailing Address - Fax:616-856-8588
Practice Address - Street 1:4582 W RIVER DR NE STE F
Practice Address - Street 2:
Practice Address - City:COMSTOCK PARK
Practice Address - State:MI
Practice Address - Zip Code:49321-8941
Practice Address - Country:US
Practice Address - Phone:616-856-8858
Practice Address - Fax:616-856-8588
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010698111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor