Individual
BRYANT MCNUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 NE LOOP 410, SAN ANTONIO, TX 78216-5829
(210) 494-2343
Mailing address
14 BROKEN SKI CIR, NEW BRAUNFELS, TX 78130-8419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1172493
TX
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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