Individual
KATE MICHELLE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
3316 OPAL DR, AMES, IA 50010-8543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03821
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02276
WELLMARK BCBS
IA
Enumeration date
04/26/2007
Last updated
07/08/2007
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