Individual
MICHELLE REYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4308 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4856
(505) 881-0425
Mailing address
1164 LAUREL LOOP NE, ALBUQUERQUE, NM 87122-1109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2392
NM
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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