Provider Demographics
NPI:1528600459
Name:REESE CHIROPRACTIC
Entity Type:Organization
Organization Name:REESE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-557-4564
Mailing Address - Street 1:1631 15TH AVE W STE 201
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-2795
Mailing Address - Country:US
Mailing Address - Phone:206-557-5464
Mailing Address - Fax:206-420-3089
Practice Address - Street 1:1631 15TH AVE W STE 201
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-2795
Practice Address - Country:US
Practice Address - Phone:206-557-5464
Practice Address - Fax:206-420-3089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty