Provider Demographics
NPI:1780947929
Name:REEVE, JAMES CHRISTOPHER (BS,LMT,MMP)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:CHRISTOPHER
Last Name:REEVE
Suffix:
Gender:M
Credentials:BS,LMT,MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 E PARK BLVD
Mailing Address - Street 2:APT. # 1106
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3139
Mailing Address - Country:US
Mailing Address - Phone:972-896-5231
Mailing Address - Fax:
Practice Address - Street 1:3500 E PARK BLVD
Practice Address - Street 2:APT. # 1106
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-3139
Practice Address - Country:US
Practice Address - Phone:972-896-5231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT114794225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist