Individual
JOHN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8115 GATEHOUSE RD, FALLS CHURCH, VA 22042-1203
(571) 423-1264
Mailing address
8115 GATEHOUSE RD, FALLS CHURCH, VA 22042-1203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000149
VA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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