Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maxie Reavis, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114706983

Maxie Reavis, DO is a Student in an Organized Health Care Education/Training Program in Lutz, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

21808 State Road 54
Lutz, FL 33549-6923
Phone: (509) 452-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114706983
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 21, 2023
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address2101 Steptoe St Apt 233, Richland, WA 99352-8557

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