Individual
BREANNA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, CEAS, CES
Contact information
Practice address
1200 SALUDA CHASE WAY, WEST COLUMBIA, SC 29169-6057
(850) 209-7446
Mailing address
1200 SALUDA CHASE WAY, WEST COLUMBIA, SC 29169-6057
(850) 209-7446
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1930
SC
2255A2300X
Athletic Trainer
AL3627
FL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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