Individual
SCOTT SUPPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPTA
Contact information
Practice address
1335 NW BROAD ST, MURFREESBORO, TN 37129-4428
(188) 836-2870
(188) 835-5181
Mailing address
2400 CHEYENNE DR, GREAT BEND, KS 67530-2437
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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