Individual
GARY LEE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
131 W 6TH AVE, SAN MANUEL, AZ 85631-1150
(520) 609-7223
Mailing address
131 W 6TH AVE, SAN MANUEL, AZ 85631-1150
(520) 609-7223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA010113
AZ
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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