Reesheda Ivory
Prosthetist
9165 Elk Grove Florin Rd Suite 155
Elk Grove
, California 95624-5022
Reesheda Ivory
Prosthetist
9165 Elk Grove Florin Rd Suite 155
Elk Grove
, California 95624-5022
(916) 996-2959
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Reesheda Ivory
- 9165 Elk Grove Florin Rd Suite 155
- Elk Grove, CA
- Zip : 95624-5022
- Phone : (916) 996-2959
Second Address
- Reesheda Ivory
- 9165 Elk Grove Florin Rd Suite 155
- Elk Grove, CA
- Zip : 95624-5022
- Phone : (916) 996-2959
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What type of doctor is Reesheda Ivory
In what state does Reesheda Ivory practice in?
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Is Reesheda Ivory a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1427591155 |
|---|---|
| Provider Name | Reesheda Ivory |
| First Address | Elk Grove, CA 95624-5022 |
| Second Address | Elk Grove, CA 95624-5022 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2016 |
| Last Update Date | 29/11/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.