Individual
TRACEY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20059 KING RD, WOODHAVEN, MI 48183-1032
(734) 365-5112
(734) 365-5115
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001117
MI
Other
Enumeration date
09/08/2021
Last updated
12/18/2024
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