Provider Demographics
NPI:1326284555
Name:REEVES, ADAM DAVIS (DC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:DAVIS
Last Name:REEVES
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 1:108 MEMORIAL DR.
Mailing Address - Street 2:
Mailing Address - City:DONALDSONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70346
Mailing Address - Country:US
Mailing Address - Phone:225-473-3990
Mailing Address - Fax:225-473-3992
Practice Address - Street 1:108 MEMORIAL DR.
Practice Address - Street 2:
Practice Address - City:DONALDSONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70346
Practice Address - Country:US
Practice Address - Phone:225-473-3990
Practice Address - Fax:225-473-3992
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1494111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor