Provider Demographics
NPI:1922250521
Name:REED, JEAN FRANCES (COTA)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:FRANCES
Last Name:REED
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MS
Other - First Name:JEAN
Other - Middle Name:FRANCES
Other - Last Name:HEINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:PO BOX 1161
Mailing Address - Street 2:203 SCHIEK PLAZA DR
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501
Mailing Address - Country:US
Mailing Address - Phone:715-369-7474
Mailing Address - Fax:715-369-7475
Practice Address - Street 1:6930 WEST SCHOOL STREET
Practice Address - Street 2:THREE LAKES SCHOOL
Practice Address - City:THREE LAKES
Practice Address - State:WI
Practice Address - Zip Code:54562
Practice Address - Country:US
Practice Address - Phone:715-369-7474
Practice Address - Fax:715-369-7475
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI114-027224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant