MARY VIVIAN MANTOOTH

LEITCHFIELD, KY
NPI1780603787
Other NameMARY VIVIAN HAYDEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  PT001004)
Enumeration Date2006-07-19
Last Update Date2007-12-06
Business Address
Mrs. MARY VIVIAN MANTOOTH PT
358 S MAIN ST
LEITCHFIELD, KY 42754-1428
Phone number: 270-259-0551
Mailing Address
Mrs. MARY VIVIAN MANTOOTH PT
358 SOUTH MAIN STREET
LEITCHFIELD, KY 42754
Phone number: 270-259-0551