Provider Demographics
NPI:1659186211
Name:REECE, KATIE MARIE (PT)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:MARIE
Last Name:REECE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 COMMERCE CIR SW STE C
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-6860
Mailing Address - Country:US
Mailing Address - Phone:256-580-5045
Mailing Address - Fax:256-274-0257
Practice Address - Street 1:207 COMMERCE CIR SW STE C
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-6860
Practice Address - Country:US
Practice Address - Phone:256-580-5045
Practice Address - Fax:256-274-0257
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH10639225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist