Provider Demographics
NPI:1356741003
Name:PARSONS, REID ELIZABETH (ATC, EMT)
Entity type:Individual
Prefix:
First Name:REID
Middle Name:ELIZABETH
Last Name:PARSONS
Suffix:
Gender:F
Credentials:ATC, EMT
Other - Prefix:
Other - First Name:REID
Other - Middle Name:ELIZABETH
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC, EMT
Mailing Address - Street 1:242 CLAY AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1732
Mailing Address - Country:US
Mailing Address - Phone:303-877-0094
Mailing Address - Fax:
Practice Address - Street 1:242 CLAY AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1732
Practice Address - Country:US
Practice Address - Phone:303-877-0094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-31
Last Update Date:2014-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYAT10822255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer