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NPI Code Detail

MEDICARE: JOSHUA REYNOLDS DPT

MEDICARE:   JOSHUA  REYNOLDS  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1962003095
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA REYNOLDS DPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-8923
Fax Number :
Provider Business Practice Location Address
First Line : 1010 MONARCH ST STE 150
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1892
Country : US
Telephone Number : 859-219-0211
Fax Number : 859-795-5248
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2020
Last Update Date : 11/04/2020

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Directions to “ JOSHUA REYNOLDS DPT” Practice Location

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