Individual
NATHAN SAMUEL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
103 MEDICAL PARK FL 1, HATTIESBURG, MS 39401-9042
(601) 268-5757
(601) 579-5220
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5757
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7014
MS
Other
Enumeration date
12/01/2020
Last updated
01/27/2021
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