Individual
MICHELLE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14900 BLAKELY WAY, ALEDO, TX 76008-1279
(817) 454-4222
Mailing address
14900 BLAKELY WAY, ALEDO, TX 76008-1279
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1028166
TX
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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