Provider Demographics
NPI:1467474668
Name:MOELLER, REED M (DC)
Entity Type:Individual
Prefix:DR
First Name:REED
Middle Name:M
Last Name:MOELLER
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 1:1250 W KEMPER RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1618
Mailing Address - Country:US
Mailing Address - Phone:513-742-0880
Mailing Address - Fax:513-742-6212
Practice Address - Street 1:1250 W KEMPER RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1618
Practice Address - Country:US
Practice Address - Phone:513-742-0880
Practice Address - Fax:513-742-6212
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
H098991Medicare UPIN