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Individual

BRANDON TRAVIS RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
624 MAYSVILLE RD, SUITE C, MT STERLING, KY 40353-9767
(859) 499-4351
(859) 499-4321
Mailing address
624 MAYSVILLE RD, SUITE C, MT STERLING, KY 40353-9767
(859) 499-4351
(859) 499-4321

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005138
KY

Other

Enumeration date
10/29/2007
Last updated
10/29/2007
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