LANNY RAY BETHEL

MARTIN, TN
NPI1821203670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  2032)
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
Mr. LANNY RAY BETHEL PTA
640 HANNINGS LN
MARTIN, TN 38237-3308
Phone number: 731-587-3193
Mailing Address
Mr. LANNY RAY BETHEL PTA
525 MOUNT PELIA RD APT 16
MARTIN, TN 38237-3398
Phone number:
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