Provider Demographics
NPI:1639463631
Name:GREENMAN-REID, TAMRA LORAE
Entity Type:Individual
Prefix:MRS
First Name:TAMRA
Middle Name:LORAE
Last Name:GREENMAN-REID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1565 MAJESTIC DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-3541
Mailing Address - Country:US
Mailing Address - Phone:775-376-8280
Mailing Address - Fax:
Practice Address - Street 1:1565 MAJESTIC DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-3541
Practice Address - Country:US
Practice Address - Phone:775-376-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner