Reynolds, Autumn

Reynolds, Autumn is an individual health care provider with primary practice located at 1405 Hillsboro Blvd , Manchester TN 37355-2107. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Reynolds, Autumn can be contacted via phone (931) 954-1020.

Contact Information

Primary practice address
1405 Hillsboro Blvd Manchester TN 37355-2107
Phone: (931) 954-1020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12521 Tennessee

Profile Details

NPI number 1407314693
LBN Legal business name Reynolds, Autumn
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2019
Last updated Jan 22nd, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407314693 NPPES
Tennessee MEDICAID Q029723

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