JONATHAN BLAKE RANEY

MONTICELLO, AR
NPI1821564873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  4359)
Enumeration Date2018-10-17
Last Update Date2018-10-17
Business Address
JONATHAN BLAKE RANEY PTA
778 SCOGIN DR
MONTICELLO, AR 71655-5729
Phone number: 870-460-3540
Mailing Address
JONATHAN BLAKE RANEY PTA
205 BRADLEY ROAD 42 W
HERMITAGE, AR 71647-9279
Phone number: 870-820-6209