Search › Arizona › 172M00000X

Ct Reatherford

NPI 1215319462 · on the registry since 2015 · sole proprietor

Practice

Address
3771 E Carol Ln
Cottonwood, AZ 86326
Phone
(602) 309-4158

Registry record

Primary taxonomy
172M00000X
172M00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona