Provider Demographics
NPI:1497468573
Name:REEVES, HALEY MAE (DC)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:MAE
Last Name:REEVES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 LAKE AVE N
Mailing Address - Street 2:
Mailing Address - City:SPICER
Mailing Address - State:MN
Mailing Address - Zip Code:56288-2600
Mailing Address - Country:US
Mailing Address - Phone:320-409-1330
Mailing Address - Fax:
Practice Address - Street 1:174 LAKE AVE N
Practice Address - Street 2:
Practice Address - City:SPICER
Practice Address - State:MN
Practice Address - Zip Code:56288-2600
Practice Address - Country:US
Practice Address - Phone:320-409-1330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7053111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor