Individual
JONATHAN BLAKE RANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
778 SCOGIN DR, MONTICELLO, AR 71655-5729
(870) 460-3540
Mailing address
205 BRADLEY ROAD 42 W, HERMITAGE, AR 71647-9279
(870) 820-6209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4359
AR
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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