Provider Demographics
NPI:1861701054
Name:REED, JOHN ALLEN III (PT, DPT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ALLEN
Last Name:REED
Suffix:III
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 PEACHTREE RD NE STE D-557
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1148
Mailing Address - Country:US
Mailing Address - Phone:404-729-0162
Mailing Address - Fax:678-688-4905
Practice Address - Street 1:2221 PEACHTREE RD NE STE X19
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1163
Practice Address - Country:US
Practice Address - Phone:404-969-3012
Practice Address - Fax:678-688-4905
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT010075225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist