Provider Demographics
NPI:1841176971
Name:REED, ISAAC J SR
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:J
Last Name:REED
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3845 YEAGER CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-4898
Mailing Address - Country:US
Mailing Address - Phone:615-753-7415
Mailing Address - Fax:
Practice Address - Street 1:3845 YEAGER CT
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-4898
Practice Address - Country:US
Practice Address - Phone:615-753-7415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver