Provider Demographics
NPI:1861711715
Name:REED, NATHAN ALLAN (DC)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ALLAN
Last Name:REED
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-3220
Mailing Address - Country:US
Mailing Address - Phone:231-943-1767
Mailing Address - Fax:231-943-1769
Practice Address - Street 1:115 E 14TH ST
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-3220
Practice Address - Country:US
Practice Address - Phone:231-943-1767
Practice Address - Fax:231-943-1769
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009643111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor