Provider Demographics
NPI:1508493768
Name:REED, JAMES G (RRT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:G
Last Name:REED
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 HAMMOND ST # A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3716
Mailing Address - Country:US
Mailing Address - Phone:757-768-9060
Mailing Address - Fax:
Practice Address - Street 1:313 HAMMOND ST # A
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3716
Practice Address - Country:US
Practice Address - Phone:757-768-9060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11558996-5701227900000X
CORTL.0006226227900000X
WY1241227900000X
VA0117007847227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered