Individual
KIMBERLY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
14 PARKVIEW, PETAL, MS 39465-5824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4825
MS
Other
Enumeration date
04/06/2014
Last updated
01/08/2015
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