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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DETRA REYNOLDS-TODD

Active Sole Proprietor

DETRA REYNOLDS-TODD is a Respite Care (Camp) healthcare provider located in AVON, Indiana. NPI 1477299691 is currently active in the NPPES registry. Verify at CMS.

Respite Care (Camp) · AVON, IN

Registration Details

NPI Number
1477299691
Provider Type
Individual
Gender
Female
NPI Issued
May 10, 2022 (4.2805772459149 yrs)
Last Updated
Aug 9, 2023
Sole Proprietor
Yes

Practice Information

Address
9770 JACKSON WAY
AVON, IN, 461239588
Browse IN providers · Browse ZIP 46123
Phone
3177284239
Primary Specialty
Respite Care (Camp)
385HR2060X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.