Provider Demographics
NPI:1891246922
Name:REED, DANIEL B (NMD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:B
Last Name:REED
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 S MAIN ST STE 13
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-7051
Mailing Address - Country:US
Mailing Address - Phone:801-441-0549
Mailing Address - Fax:801-901-8525
Practice Address - Street 1:1817 S MAIN ST STE 13
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-7051
Practice Address - Country:US
Practice Address - Phone:801-441-0549
Practice Address - Fax:801-901-8525
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10796602-7100175F00000X
UT10351091-7101175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath