SearchIdaho225X00000X

Judy Reed

NPI 1720402571 · on the registry since 2014 · sole proprietor

Practice

Address
10750 W Mohawk Dr
Boise, ID 83709
Phone
(208) 994-9001
Fax
(208) 489-4005

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho