Provider Demographics
NPI:1922206176
Name:REED, DELIA SHERREE (PTA)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:SHERREE
Last Name:REED
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:DELIA
Other - Middle Name:SHERREE
Other - Last Name:SCHOOLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1118 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:OK
Mailing Address - Zip Code:73086-4001
Mailing Address - Country:US
Mailing Address - Phone:580-622-5909
Mailing Address - Fax:
Practice Address - Street 1:1118 E 1ST ST
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:OK
Practice Address - Zip Code:73086-4001
Practice Address - Country:US
Practice Address - Phone:580-622-5909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1455225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant