Individual
PATRICK CONWAY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1081 JOHN ROBERT BELL DRIVE, JOHNSON CITY, TN 37601
(302) 985-7072
Mailing address
1081 JOHN ROBERT BELL DRIVE, JOHNSON CITY, TN 37614
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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