Individual
NICHOLAS THOMAS BETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7900 AIRWAYS BLVD BLDG A, SOUTHAVEN, MS 38671-4113
(662) 536-4096
Mailing address
4993 LYNBAR AVE, MEMPHIS, TN 38117-2029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6783
MS
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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