Laura L Reynolds, MMP, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT026903 Issued in TX

Practice address

4241 Woodcock Dr Ste C115
San Antonio, TX 78228-1328

Phone

(210) 712-6475

Fax

(210) 829-1828

NPI assigned

Mar 17, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MFD Dental, PA

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1194422386
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1194996223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 KITTY HAWK RD",
            "address_2": "SUITE170 BOX 469",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483825",
            "telephone_number": "210-399-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 WOODCOCK DR STE C115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281328",
            "telephone_number": "210-712-6475",
            "fax_number": "210-829-1828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4821 Fredericksburg Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293671",
            "country_code": "US",
            "telephone_number": "210-399-1864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "MMP, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT026903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Joanne Reynolds
• Corinne M. Reynolds, P.T.
• Elizabeth Reynolds
• Jeffrey Scott Reynolds, D.C.
• Laci L Reynolds, OTR
• Meaghan Reynolds
• Meghan Raye Reynolds
• Meredith Erin Reynolds, RN, MSN, ACNP-BC
• Min S Reynolds, PHD, LPC, NCC
• Rebecca Reynolds

• Massage Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.