Provider Demographics
NPI:1023332061
Name:REED, TRENISE SAVERIN (OT)
Entity type:Individual
Prefix:
First Name:TRENISE
Middle Name:SAVERIN
Last Name:REED
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:TRENISE
Other - Middle Name:
Other - Last Name:SAVERIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950 E COUNTY LINE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-1928
Mailing Address - Country:US
Mailing Address - Phone:601-853-8747
Mailing Address - Fax:601-898-4761
Practice Address - Street 1:950 E COUNTY LINE RD
Practice Address - Street 2:SUITE E
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-1928
Practice Address - Country:US
Practice Address - Phone:601-853-8747
Practice Address - Fax:601-898-4761
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-19
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200237225X00000X
MSOT2679225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist