Individual
AMY MARIE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6908 CREEKLANDS LN, HIXSON, TN 37343-2931
(423) 605-0104
Mailing address
6908 CREEKLANDS LN, HIXSON, TN 37343-2931
(423) 605-0104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
106139971
TN
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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