Individual provider · Type 1 NPI

Reilly Watson

Student in an Organized Health Care Education/Training Program · Petersburg, TN

NPI number 1376449876 Active

Practice location

131 Delina Boonshill Rd
Petersburg, TN 37144-6602

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.

About NPI 1376449876

Reilly Watson's National Provider Identifier is 1376449876, issued on Oct 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Petersburg, TN. The record was last updated on Oct 20, 2026.