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1164080842
BENJAMIN REYNOLDS
NICHOLASVILLE, KY
NPI
1164080842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 006909)
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
BENJAMIN REYNOLDS PT, DPT
204 BELLAIRE DR
NICHOLASVILLE, KY 40356-8840
Phone number: 360-643-3273
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Mailing Address
BENJAMIN REYNOLDS PT, DPT
2031 OLD SALTS RD
SOMERSET, KY 42503-4547
Phone number: 360-643-3273
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