Provider Demographics
NPI:1467139402
Name:REYES REMEDIES LLC
Entity Type:Organization
Organization Name:REYES REMEDIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:REYES OLSSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:305-879-7795
Mailing Address - Street 1:602 SE 46TH LN # 1
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-5554
Mailing Address - Country:US
Mailing Address - Phone:305-879-7795
Mailing Address - Fax:
Practice Address - Street 1:2483 NW 177TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-3653
Practice Address - Country:US
Practice Address - Phone:305-879-7795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty