Individual
MR. MICHAEL GARNET REASNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17201 15TH AVE NE, SHORELINE, WA 98155-5129
(206) 364-9336
Mailing address
7733 FORSYTH BLVD, SAINT LOUIS, MO 63105-1817
(180) 067-7123
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PTA19457
FL
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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