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Baryn Rasberry

Physical Therapist in Tyler, TX. Individual provider (NPI-1).

NPI number1316631005
StatusActive
Last updated in NPPESJun 6, 2023

Details

NPI
1316631005
Entity type
Individual (NPI-1)
Name
Baryn Rasberry
Sex
Male
Sole proprietor
No
Enumeration date
Jun 6, 2023
Certification date
Jun 6, 2023
Last updated
Jun 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

5407 New Copeland Rd Ste 100
Tyler, TX 75703-3997

Phone 903-630-7204

Mailing address

1107 Jan St
Whitehouse, TX 75791-3801

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