Individual
TAMMI REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
3747A0650X
Contact information
Practice address
1407 DORCHESTER AVE, MUSKOGEE, OK 74403-5618
(918) 892-0442
Mailing address
9625 WHIPPERWILL LN, BROKEN ARROW, OK 74014-3471
(918) 892-0442
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
08/01/2025
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