Provider Demographics
NPI:1902816978
Name:REESE, DAVID R (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:R
Last Name:REESE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:PO BOX 6073
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-6073
Mailing Address - Country:US
Mailing Address - Phone:207-781-2543
Mailing Address - Fax:207-781-5077
Practice Address - Street 1:361 US ROUTE 1
Practice Address - Street 2:STE 4
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105
Practice Address - Country:US
Practice Address - Phone:207-781-2543
Practice Address - Fax:207-781-5077
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME702225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM0967Medicare ID - Type Unspecified