Individual
MARLA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 BIRCH ST, HAMILTON, MT 59840-2536
(406) 880-7410
Mailing address
146 BIRCH ST, HAMILTON, MT 59840-2536
(406) 880-7410
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
55532
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1322
—
MT
Enumeration date
07/07/2022
Last updated
07/07/2022
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