Provider Demographics
NPI:1720748940
Name:REID, ERIKA DENISE
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:DENISE
Last Name:REID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 SOUTHERN TRCE APT E
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4840
Mailing Address - Country:US
Mailing Address - Phone:313-204-5922
Mailing Address - Fax:
Practice Address - Street 1:155 SOUTHERN TRCE APT E
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4840
Practice Address - Country:US
Practice Address - Phone:313-204-5922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer