Individual
BENJAMIN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
204 BELLAIRE DR, NICHOLASVILLE, KY 40356-8840
(360) 643-3273
Mailing address
2031 OLD SALTS RD, SOMERSET, KY 42503-4547
(360) 643-3273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006909
KY
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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