Provider Demographics
NPI:1790905198
Name:REED, BARBARA DIANE (RN LMT CMTPT)
Entity Type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:DIANE
Last Name:REED
Suffix:
Gender:F
Credentials:RN LMT CMTPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 JOSLIN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SWANZEY
Mailing Address - State:NH
Mailing Address - Zip Code:03431-4513
Mailing Address - Country:US
Mailing Address - Phone:603-352-5015
Mailing Address - Fax:
Practice Address - Street 1:45 JOSLIN RD
Practice Address - Street 2:
Practice Address - City:NORTH SWANZEY
Practice Address - State:NH
Practice Address - Zip Code:03431-4513
Practice Address - Country:US
Practice Address - Phone:603-352-5015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1262M225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist