Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XG0600X | Occupational Therapist - Gerontology | 00636 | IA |
Y | 225XG0600X | Occupational Therapist - Gerontology | 231 | NE |
NPI | 1447573514 |
---|---|
Provider Name | Mrs. Renee Reed Sheets |
First Address | Blair, NE 68008-5567 |
Second Address | Logan, IA 51546-1442 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2010 |
Last Update Date | 03/03/2010 |