Dasha Rae Reynolds, LMT,LET

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1777002 Issued in TX

Practice address

11633 Cripple Creek Dr
Corpus Christi, TX 78410-3740

Phone

(361) 726-7409

NPI assigned

Aug 25, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dasha Rae Reynolds Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1285512483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 CRIPPLE CREEK DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784103740",
            "telephone_number": "361-726-7409",
            "fax_number": "361-726-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 CRIPPLE CREEK DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784103740",
            "telephone_number": "361-726-7409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5366 McArdle Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784113840",
            "country_code": "US",
            "telephone_number": "361-726-7409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DASHA",
        "middle_name": "RAE",
        "credential": "LMT,LET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "1777002",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT101140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DASHA",
            "last_name": "REYNOLDS",
            "middle_name": "RAE",
            "credential": "LMT;LET",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paul Reyna, OWNER
• Rachelle Leigh Reyna, LVN
• Roxana Reyna, FNP-C
• Shanyce Rebecca Reyna
• Valarie Reyna, LCDC-I
• Kristie Lynn Reynolds, MS, MA, LPC-S
• RGV Nueces Rehabilitation Inc. (Innovative Physical Therapy)
• Christine Rhodes, PHARMD
• Cristina Marie Rhodes, DO
• Donald Alan Rhodes, DPM

• Dermatology Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.