Provider Demographics
NPI:1992861520
Name:REYNOLDS-CALL, TAMI (MSPT)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:REYNOLDS-CALL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1689 E 1400 S STE 120
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015-2267
Mailing Address - Country:US
Mailing Address - Phone:801-628-8452
Mailing Address - Fax:
Practice Address - Street 1:1689 E 1400 S STE 120
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-2267
Practice Address - Country:US
Practice Address - Phone:801-525-0007
Practice Address - Fax:801-525-0008
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT328053-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist