Provider Demographics
NPI:1467487157
Name:REYNOLDS, TONI FRANCES (DC)
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:FRANCES
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 W PINE ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-2048
Mailing Address - Country:US
Mailing Address - Phone:209-334-4308
Mailing Address - Fax:209-334-3405
Practice Address - Street 1:404 W PINE ST
Practice Address - Street 2:SUITE 4
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-2048
Practice Address - Country:US
Practice Address - Phone:209-334-4308
Practice Address - Fax:209-334-3405
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor