Individual
CLINT RAYMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-1920
Mailing address
179 LOWE DR, BOWLING GREEN, KY 42103-9587
(270) 799-0637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008128
KY
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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