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Individual
RYEN BOSTICK
Active
Individual
RYEN BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070041142
IL
225100000X
Physical Therapist
1407371
TX
225100000X
Physical Therapist
5501017599
MI
Other
Enumeration date
02/12/2016
Last updated
09/15/2026
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