NPI 1356541817

Jill R. Reavis, LAC

Practitioner Acupuncturist Springfield, MO

Practice location

Address: 1342 E Primrose St Suite a, Springfield, MO 65804-4279
Phone: (417) 877-1300
Fax: (471) 877-1335

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 2002030343 (MO)

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Registry record

NPI: 1356541817
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2007
Record last updated: 23 Jul 2007

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.