Breean Cecily Reyes, L.M.T.
Individual provider Active NPI Massage Therapist · Eureka, MT
NPI 1992003628 · NPPES record last updated Mar 4, 2011
Key facts
- NPI
- 1992003628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 1108 (MT)
- Practice address
- 343 US Highway 93 N
Eureka, MT 59917-9059 - Phone
- (406) 297-3422
- NPI assigned
- Mar 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1108 | MT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1108 | MT | Yes |
Addresses
Primary practice location
343 US Highway 93 N
Eureka, MT 59917-9059
Mailing address
PO Box 883
Eureka, MT 59917-0883
Phone (406) 297-3422
Other providers in Eureka, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.