Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVA OTEY
Active Sole ProprietorREVA OTEY is a Bus healthcare provider located in PULASKI, Virginia. NPI 1639705361 is currently active in the NPPES registry. Verify at CMS.
Bus · PULASKI, VA
Registration Details
- NPI Number
- 1639705361
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2020 (6.4240584431851 yrs)
- Last Updated
- Mar 13, 2020
- License
-
11029237 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4964 THORNSPRING RDPULASKI, VA, 243017022Browse VA providers · Browse ZIP 24301
- Phone
- 5409949598
- Primary Specialty
-
Bus
343900000X
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.