Organization
MANTOOTH PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY VIVIAN MANTOOTH PT (PHYSICAL THERAPIST/OWNER)
(270) 589-1730
Entity
Organization
Contact information
Practice address
301 W WALNUT ST, LEITCHFIELD, KY 42754-1256
(270) 589-1730
Mailing address
301 W WALNUT ST, LEITCHFIELD, KY 42754
(270) 589-1730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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