Dr Therese Kathleen Reaney, DC | |
1305 N Bascom Ave Ste C, San Jose, CA 95128-1248 | |
(408) 985-9999 | |
Not Available |
Full Name | Dr Therese Kathleen Reaney |
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Gender | Female |
Speciality | Chiropractor |
Location | 1305 N Bascom Ave Ste C, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447470257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 22920 (California) | Primary |
Provider Name | Palmer College Of Chiropractic West |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417030024 PECOS PAC ID: 1254378425 Enrollment ID: O20050411000327 |
Mailing Address | Practice Location Address |
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Dr Therese Kathleen Reaney, DC 1305 N Bascom Ave Ste C, San Jose, CA 95128-1248 Ph: (408) 985-9999 | Dr Therese Kathleen Reaney, DC 1305 N Bascom Ave Ste C, San Jose, CA 95128-1248 Ph: (408) 985-9999 |
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