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Individual
RYAN EDWARD GRIESENAUER
Active
Individual
RYAN EDWARD GRIESENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11455
TN
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035204
—
TN
Enumeration date
04/06/2017
Last updated
09/05/2018
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