MR. Lanny Ray Bethel, PTA

NPI #1821203670 in Martin, Tennessee

Provider Information

NPI Number
1821203670
Entity Type
Individual
Name
MR. Lanny Ray Bethel, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
640 HANNINGS LN
City
Martin
ZIP Code
38237-3308
Phone
(731) 587-3193

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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