Individual
MR. COLTON JUDSON PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
395 COUNTY ROAD 3101, CLARKSVILLE, TX 75426-6905
(903) 249-0386
(903) 427-8256
Mailing address
395 COUNTY ROAD 3101, CLARKSVILLE, TX 75426-6905
(903) 249-0386
(903) 427-8256
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2080660
TX
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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