Individual
MR. MARIO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, SCAT, ATC
Contact information
Practice address
476 HUBBARD DR, LANCASTER, SC 29720-5615
(803) 313-7190
Mailing address
261 SUMMERS TRACE DR, BLYTHEWOOD, SC 29016-8394
(850) 693-0973
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1952
SC
Other
Enumeration date
08/29/2014
Last updated
08/05/2019
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