Individual
NATHAN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3071 HIGHWAY 21 STE 105, FORT MILL, SC 29715-7206
(803) 547-6634
Mailing address
3071 HIGHWAY 21 STE 105, FORT MILL, SC 29715-7206
(803) 547-6634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11748
SC
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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