NPI 1134217698
Jonathan Douglas Wayne Reagan, MPT
Practice location
- Address
- 200 W Commercial St, Lebanon, MO 65536-3146
- Phone
- (417) 718-0712
- Mailing address
- PO Box 1736, Lebanon, MO 65536
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1134217698
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Oct 2006
- Record last updated
- 3 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.