Individual provider · Type 1 NPI
Jerry Ray Reavis, DC
Chiropractor · Winston Salem, NC
NPI number
1649268905
Active
Practice location
3702 Reynolda Rd
Winston Salem, NC 27106-2232
Fax (336) 924-4333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 641 (NC) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1649268905
Jerry Ray Reavis, DC's National Provider Identifier is 1649268905, issued on Oct 11, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 13, 2026.