Gabriel Reynolds, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61226503 Issued in WA

Practice address

221A NE 104TH Ave Ste 205
Vancouver, WA 98664-4539

Phone

(360) 737-9665

NPI assigned

Jan 24, 2023

Sex

Male

Sole proprietor

No

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

Locations

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.

• Manual Medicine & Rehabilitation Center PC

  • Chiropractor
  • Vancouver, WA
  • NPI 1295900421

  Massage Therapist

  NPD
• Manual Medicine & Rehabilitation Center PC, of Wa

  • Chiropractor
  • Portland, OR
  • NPI 1831793603
  NPD (past)

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1730895665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 M ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632424",
            "telephone_number": "360-910-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221A NE 104TH AVE STE 205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644539",
            "telephone_number": "360-737-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "GABRIEL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61226503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Lalangan Revollido, RN
• Iryna P Revutska, RDH
• Emily Reyes
• Kristin Reyes
• Savannah Marie Reyes
• Jenny Lee Reynolds
• Kameryn Jean Reynolds
• Mary Megan Reynolds
• Shay Laurren Reynolds
• Suzanne Reynolds, LMP, LMT

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.