Provider Demographics
NPI:1467116277
Name:REESE, CHRISTI MARIE (HIS)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:MARIE
Last Name:REESE
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-2294
Mailing Address - Country:US
Mailing Address - Phone:574-269-6555
Mailing Address - Fax:574-269-2219
Practice Address - Street 1:346 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-2294
Practice Address - Country:US
Practice Address - Phone:574-269-6555
Practice Address - Fax:574-269-2219
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001120A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist