Individual
CORY RAISOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 SUNSET HILLS DR, MACON, MO 63552-2165
(660) 385-3113
Mailing address
703 W LEE ST, DIMMITT, TX 79027-3117
(435) 749-0050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2156885
TX
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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