Individual
MR. BRADLEY SCOTT REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
201 W NORTH RIVER DR, SUITE 510, SPOKANE, WA 99201-2284
(509) 323-0066
(509) 323-0067
Mailing address
201 W NORTH RIVER DR, SUITE 510, SPOKANE, WA 99201-2284
(509) 323-0066
(509) 323-0067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002713
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8346330
—
WA
Enumeration date
11/03/2006
Last updated
07/09/2007
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