Provider Demographics
NPI:1679612980
Name:REEVES, SHILA RENAE (OTR, RN, BSN)
Entity type:Individual
Prefix:MISS
First Name:SHILA
Middle Name:RENAE
Last Name:REEVES
Suffix:
Gender:F
Credentials:OTR, RN, BSN
Other - Prefix:MRS
Other - First Name:SHILA
Other - Middle Name:RENAE
Other - Last Name:TUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:55 CARRIAGE RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-6546
Mailing Address - Country:US
Mailing Address - Phone:325-695-7262
Mailing Address - Fax:
Practice Address - Street 1:3233 S WILLIS ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-6649
Practice Address - Country:US
Practice Address - Phone:325-692-4500
Practice Address - Fax:325-692-4585
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX680322163W00000X
TX111635225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist