Lori Reynolds

NPI #1083042048 in Moscow, Idaho

Provider Information

NPI Number: 1083042048
Entity Type: Individual
Name: Lori Reynolds
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Oct 29, 2013
Last Updated: Oct 29, 2013

Practice Location

Address: 619 S WASHINGTON ST
City: Moscow
State: Idaho
ZIP Code: 83843-3090
Phone: (208) 883-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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