Search › Washington › 163WS0200X
Petagaye Reynolds
NPI 1992265334 · on the registry since 2019
Practice
- Address
- 320 176th St E
Spanaway, WA 98387 - Phone
- (253) 683-7400
- Fax
- (253) 683-7498
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 163WS0200X
163WS0200X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-21
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 Washington