Individual
BEAU WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
CORNER OF LAMONT STREET AND VETERANS WAY, MOUNTAIN HOME, TN 37684
(877) 573-3529
Mailing address
1010 JUSTUS DR, JOHNSON CITY, TN 37604-6300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8602
TN
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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