Provider Demographics
NPI:1881141786
Name:STINE, REED (LAC)
Entity type:Individual
Prefix:
First Name:REED
Middle Name:
Last Name:STINE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:GEILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:708 BROADWAY STE 402
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-3781
Mailing Address - Country:US
Mailing Address - Phone:253-260-8087
Mailing Address - Fax:888-971-4125
Practice Address - Street 1:708 BROADWAY STE 402
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-3781
Practice Address - Country:US
Practice Address - Phone:253-260-8087
Practice Address - Fax:888-971-4125
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60699451171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist