Individual
GABRIEL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
221A NE 104TH AVE STE 205, VANCOUVER, WA 98664-4539
(360) 737-9665
Mailing address
3329 M ST, VANCOUVER, WA 98663-2424
(360) 910-8815
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61226503
WA
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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