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Individual

MRS. BRENDA KH REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCMT, CMT, LMT

Contact information

Practice address
400 TAMI DR E, SUPERIOR, MT 59872
(406) 544-1262
(406) 822-3278
Mailing address
PO BOX 523, 400 TAMI DR E, SUPERIOR, MT 59872-0523
(406) 822-3278
(406) 822-3278

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
433
MT
225700000X
Massage Therapist
C189163
MT

Other

Enumeration date
06/24/2010
Last updated
08/18/2011
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