Provider Demographics
NPI:1639846769
Name:REED, TAYLOR RUTH (DPT)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:RUTH
Last Name:REED
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 CAPE DR
Mailing Address - Street 2:
Mailing Address - City:WHITE PINE
Mailing Address - State:TN
Mailing Address - Zip Code:37890-4630
Mailing Address - Country:US
Mailing Address - Phone:423-231-5073
Mailing Address - Fax:
Practice Address - Street 1:3108 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:WHITE PINE
Practice Address - State:TN
Practice Address - Zip Code:37890-3306
Practice Address - Country:US
Practice Address - Phone:865-674-7454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13678225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist