Jack Reaume

Physical Therapy Assistant · Lindale, TX

Individual Active NPI

NPI number 1720615248

Practice location

16911 Village Lake Dr
Lindale, TX 75771-5065
Phone
(903) 882-7055

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NPI record

NPI
1720615248
Entity type
Individual (Type 1)
Enumeration date
March 25, 2020
Last updated
March 25, 2020
Certified
March 25, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2042331 TX

Mailing address

PO Box 782
Lindale, TX 75771-0782
Phone
(903) 530-8177

About Jack Reaume

Jack Reaume is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 16911 Village Lake Dr, Lindale, TX 75771-5065. The NPI number 1720615248 was assigned on March 25, 2020 and the record was last updated on March 25, 2020.

Jack Reaume lists a license in the registry: #2042331 (TX) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Reaume?

The NPI number is 1720615248.

What is the phone number of Jack Reaume?

The phone number listed for the practice location is (903) 882-7055.

Where is Jack Reaume located?

16911 Village Lake Dr, Lindale, TX 75771-5065.

What is the taxonomy code for Jack Reaume?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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