Provider Demographics
NPI:1821040908
Name:REEVES, AMY L (DC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:REEVES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2692 ABARR DR.
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-3170
Mailing Address - Country:US
Mailing Address - Phone:970-622-8775
Mailing Address - Fax:
Practice Address - Street 1:2692 ABARR DR.
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3170
Practice Address - Country:US
Practice Address - Phone:970-622-8775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4756111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO350057119OtherRAILROAD MEDICARE
CODA0885OtherRAILROAD MEDICARE GRP
CO350057119OtherRAILROAD MEDICARE
CODA0885OtherRAILROAD MEDICARE GRP