Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL ALLAN REAVELY, LPTA
ActiveMR. RUSSELL ALLAN REAVELY, LPTA is a Occupational Therapist healthcare provider located in QUINCY, Washington. NPI 1447836150 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · QUINCY, WA
Registration Details
- NPI Number
- 1447836150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2021 (5.3532898367627 yrs)
- Last Updated
- Mar 23, 2021
- License
-
60065774 (WA)
Practice Information
- Address
-
910 10TH ST SEQUINCY, WA, 98810Browse WA providers · Browse ZIP 98810
- Phone
- 5097973531
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.