Ronald Short II, PT

NPI #1386266484 in Longview, Texas

Provider Information

NPI Number: 1386266484
Entity Type: Individual
Name: Ronald Short II, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 12, 2020
Last Updated: May 12, 2020

Practice Location

Address: 323 E HAWKINS PKWY STE A
City: Longview
State: Texas
ZIP Code: 75605-8162
Phone: (903) 758-2746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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