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Individual
RYAN SMITH
Active
Individual
RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12213
SC
225100000X
Physical Therapist
Primary
14229073-2401
UT
Other
Enumeration date
01/26/2024
Last updated
08/04/2025
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