SETH STOUT

KINGSPORT, TN
NPI1437852704
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  0000005030)
Enumeration Date2023-03-24
Last Update Date2023-03-24
Business Address
SETH STOUT PTA
2300 PAVILION DR
KINGSPORT, TN 37660-4622
Phone number: 423-765-9655
Mailing Address
SETH STOUT PTA
2300 PAVILION DR
KINGSPORT, TN 37660-4622
Phone number: 423-765-9655
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