Provider Demographics
NPI:1962056796
Name:REYNOLDS, JASMINE (DPT)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 QUEBEC ST STE 5005
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-2341
Mailing Address - Country:US
Mailing Address - Phone:303-322-4900
Mailing Address - Fax:
Practice Address - Street 1:4045 PECOS ST STE 140
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-2560
Practice Address - Country:US
Practice Address - Phone:303-477-5303
Practice Address - Fax:303-477-5302
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist