Individual
RYAN S BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
400 SW GORDON ST, BURLESON, TX 76028-4622
(817) 774-1090
Mailing address
400 SW GORDON ST, BURLESON, TX 76028-4622
(817) 774-1090
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2081703
TX
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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