# MR. SETH MICHAEL REYNOLDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396983300
- **Gender:** Man
- **Credential:** BOC-O, CP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 222Z00000X | Orthotist | C49811 | MD | — |
| 224P00000X | Prosthetist | CP003528 | DE | Yes |
| 224P00000X | Prosthetist | — | NC | — |

## Other

- **Enumeration date:** 01/29/2009
- **Last updated:** 05/13/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7795423 | — | NC |
| 01 | — | C49811 | CERTIFIED ORTHOTIST | — |
| 01 | — | CP003528 | CERTIFIED PROSTHETIST | NC |