Provider Demographics
NPI:1609196260
Name:REYNOLDS, CURTIS MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:MATTHEW
Last Name:REYNOLDS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7915 U.S. 301 N. UNIT 103
Mailing Address - Street 2:
Mailing Address - City:ELLENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34222
Mailing Address - Country:US
Mailing Address - Phone:941-479-4999
Mailing Address - Fax:941-479-4998
Practice Address - Street 1:7915 U.S. 301 N. UNIT 103
Practice Address - Street 2:
Practice Address - City:ELLENTON
Practice Address - State:FL
Practice Address - Zip Code:34222
Practice Address - Country:US
Practice Address - Phone:941-479-4999
Practice Address - Fax:941-479-4998
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor