Basic Information
| Provider Information | |||||||||
| NPI: | 1801142948 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REEVES | ||||||||
| FirstName: | CATHY | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 127 | ||||||||
| Address2: | |||||||||
| City: | OWENSBORO | ||||||||
| State: | KY | ||||||||
| PostalCode: | 423020127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034278066 | ||||||||
| FaxNumber: | 6035010495 | ||||||||
| Practice Location | |||||||||
| Address1: | 526 E 4TH STREET | ||||||||
| Address2: | |||||||||
| City: | MT VERNON | ||||||||
| State: | IN | ||||||||
| PostalCode: | 476202061 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2709268145 | ||||||||
| FaxNumber: | 2709268147 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2012 | ||||||||
| LastUpdateDate: | 10/21/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 05010841A | IN | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.