Individual provider · Type 1 NPI

Maxie Reavis, DO

Student in an Organized Health Care Education/Training Program · Lutz, FL

NPI number 1114706983 Active

Practice location

21808 State Road 54
Lutz, FL 33549-6923

Call (509) 452-5100 Map

Mailing address

2101 Steptoe St Apt 233
Richland, WA 99352-8557

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114706983

Maxie Reavis, DO's National Provider Identifier is 1114706983, issued on Sep 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lutz, FL. The record was last updated on Mar 25, 2024.