Individual
MICHAEL DAVID REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6486 VIOLET BREEZE WAY, LAS VEGAS, NV 89142-0997
(702) 457-7972
Mailing address
6486 VIOLET BREEZE WAY, LAS VEGAS, NV 89142-0997
(702) 457-7972
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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