Provider Demographics
NPI:1295397347
Name:BOYCE, REESA ANNE
Entity Type:Individual
Prefix:
First Name:REESA
Middle Name:ANNE
Last Name:BOYCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WAYAH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-3330
Mailing Address - Country:US
Mailing Address - Phone:828-349-2058
Mailing Address - Fax:828-369-0160
Practice Address - Street 1:105 WAYAH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-3330
Practice Address - Country:US
Practice Address - Phone:828-369-3561
Practice Address - Fax:828-369-0160
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty