Individual
MITCHELL J REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9430 PARK WEST BLVD, SUITE 230, KNOXVILLE, TN 37923-4200
(865) 690-4861
Mailing address
PO BOX 32569, KNOXVILLE, TN 37930-2569
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9993
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q007022
—
TN
Enumeration date
06/11/2014
Last updated
10/24/2017
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