Individual
STACY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
110 W 5TH ST, LEXINGTON, NE 68850-1903
(308) 324-3700
Mailing address
110 W 5TH ST, LEXINGTON, NE 68850-1903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1975
NE
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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