Reed, Mark Allen

Reed, Mark Allen is an individual health care provider with primary practice located at 1015 12Th Ave S Ste 105, Nampa ID 83651. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Reed, Mark Allen can be contacted via phone (208) 467-4357.

Contact Information

Primary practice address
1015 12Th Ave S Ste 105 Nampa ID 83651
Phone: (208) 467-4357
Fax: (208) 467-4395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT854 Idaho

Profile Details

NPI number 1871553388
LBN Legal business name Reed, Mark Allen
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871553388 NPPES
Other TC548 BLUE CROSS OF ID
Other 000010150640 BLUE CROSS OF ID

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