Provider Demographics
NPI:1811222730
Name:REED, MICHELLE (LMT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 STONEBROOK PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1046
Mailing Address - Country:US
Mailing Address - Phone:214-705-1774
Mailing Address - Fax:214-592-9867
Practice Address - Street 1:7600 STONEBROOK PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1046
Practice Address - Country:US
Practice Address - Phone:214-705-1774
Practice Address - Fax:214-592-9867
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX101005225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist