Individual
MRS. DENNA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1040 MARKET ST, HENDERSON, KY 42420-4855
(270) 827-4652
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 202-5157
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
BOTOCT00209249
KY
Other
Enumeration date
12/01/2014
Last updated
06/22/2016
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