Reynolds, Susan Marie

Reynolds, Susan Marie is an sole proprietor health care provider with primary practice located at 3010 S. Southeast Blvd Suite A, Spokane WA 99223. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Reynolds, Susan Marie can be contacted via phone (509) 688-6710.

Contact Information

Primary practice address
3010 S. Southeast Blvd Suite A Spokane WA 99223
Phone: (509) 688-6710
Fax: (503) 533-1838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00014359 Washington

Profile Details

NPI number 1184968752
LBN Legal business name Reynolds, Susan Marie
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2012
Last updated Mar 12th, 2020 - about 6 years 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 1184968752 NPPES
Washington MEDICAID 7123151

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