Individual
AUTUMN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1405 HILLSBORO BLVD, MANCHESTER, TN 37355-2107
(931) 954-1020
Mailing address
1405 HILLSBORO BLVD, MANCHESTER, TN 37355-2107
(931) 954-1020
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12521
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029723
—
TN
Enumeration date
03/06/2019
Last updated
01/22/2024
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