Individual
SHELBY MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1508 SUMMER RIDGE DR APT A, KALAMAZOO, MI 49009-1066
(317) 238-0301
Mailing address
1508 SUMMER RIDGE DR APT A, KALAMAZOO, MI 49009-1066
(317) 238-0301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000013086
IN
Other
Enumeration date
10/03/2014
Last updated
03/16/2015
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