Individual
MAXWELL LEWIS BETTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
851 E 5TH ST, RIFLE, CO 81650-2941
(970) 625-0842
Mailing address
1423 RIMROCK DR, SILT, CO 81652-8101
(970) 366-1924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015162
CO
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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