Search › Oklahoma › 101YM0800X
Jack Reynolds, LADC
NPI 1871818120 · on the registry since 2010 · sole proprietor
Practice
- Address
- 5604 Timber Ln
Oklahoma City, OK 73111 - Phone
- (405) 816-7725
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma