Individual
MICHELLE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 ATLANTIC AVE, SUITE 1, OCEAN VIEW, DE 19970-9102
(443) 553-5368
Mailing address
PO BOX 357, OCEAN VIEW, DE 19970-0357
(443) 553-5368
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0003786
DE
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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