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General NPI Number Information
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NPI Number | 1740321843
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Entity Type | Organization
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Legal Business Name | REYNOLDS THERAPEUTIC MASSAGE
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1422 BENCH BLVD
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City | BILLINGS
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State | MT
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Zip | 59105-1704
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Country | US
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Telephone | 406-245-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 1422 BENCH BLVD
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City | BILLINGS
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State | MT
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Zip | 59105-1704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST
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Name | TOM REYNOLDS
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Credential |
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Telephone | 406-245-7115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 1105
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License Number State | MT
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