Individual
ETHAN BRAYTENBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1790 HAMILL RD, HIXSON, TN 37343-5179
(423) 842-9322
(866) 591-0619
Mailing address
1790 HAMILL RD, HIXSON, TN 37343-5179
(423) 842-9322
(866) 591-0619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9938
TN
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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