Organization
REYNOLDS CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WM RYAN REYNOLDS D.C. (OWNER)
(269) 343-2667
Entity
Organization
Contact information
Practice address
8150 MOORSBRIDGE RD, SUITE B, PORTAGE, MI 49024-7419
(269) 343-2667
Mailing address
PO BOX 2550, PORTAGE, MI 49081-2550
(269) 343-2667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WR009081
MI
Other
Enumeration date
02/02/2007
Last updated
11/06/2014
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