Individual
RYAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1626 S WELLS AVE STE 105, MERIDIAN, ID 83642-4528
(208) 789-0200
(208) 288-2784
Mailing address
1626 S WELLS AVE STE 105, MERIDIAN, ID 83642-4528
(208) 789-0200
(208) 288-2784
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-85654
ID
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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