Individual
MRS. BETH RENEE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
398 OLYMPIA DRIVE, MARYVILLE, TN 37804
(865) 233-1080
(865) 233-1081
Mailing address
398 OLYMPIA DRIVE, MARYVILLE, TN 37804
(865) 233-1080
(865) 233-1081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2288818
AETNA PROVIDER NUMBER
FL
01
—
27001
WELLCARE PROVIDER
FL
01
—
4011
STAYWELL
FL
01
—
Y909J
BCBS PROVIDER NUMBER
FL
Enumeration date
10/13/2005
Last updated
11/08/2016
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