Individual
DR. MARK ANDREW REYNOLDS JR.
Active
Individual
DR. MARK ANDREW REYNOLDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305214733
VA
225100000X
Physical Therapist
Primary
CP058700T
TN
225100000X
Physical Therapist
PT5766
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305214733
VIRGINIA BOARD OF PHYSICAL THERAPY
VA
Enumeration date
01/18/2021
Last updated
08/26/2026
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