Whalio Doctors

NPI 1316261829

Beau Whitt, DPT

Practitioner Physical Therapist Mountain Home, TN

Practice location

Address
Corner of Lamont Street and Veterans Way, Mountain Home, TN 37684
Phone
(877) 573-3529
Mailing address
1010 Justus Dr, Johnson City, TN 37604-6300

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 8602 (TN)

Registry record

NPI
1316261829
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Mar 2010
Record last updated
26 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.