Provider Demographics
NPI:1063226405
Name:REYNOLDS, SAKEIA R
Entity type:Individual
Prefix:MRS
First Name:SAKEIA
Middle Name:R
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 W DEKALB PIKE APT W431
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-5202
Mailing Address - Country:US
Mailing Address - Phone:215-500-5650
Mailing Address - Fax:484-476-1000
Practice Address - Street 1:251 W DEKALB PIKE APT W431
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-5202
Practice Address - Country:US
Practice Address - Phone:215-500-5650
Practice Address - Fax:484-476-1000
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other