Individual
IAN WOYTUS
Active
Individual
IAN WOYTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11544
TN
225100000X
Physical Therapist
1281955
TX
225100000X
Physical Therapist
17876
NC
225100000X
Physical Therapist
2305212001
VA
225100000X
Physical Therapist
27229
MD
225100000X
Physical Therapist
Primary
4053
NV
225100000X
Physical Therapist
60697660
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053850610
—
VA
01
—
G8967218
MEDICARE
WA
Enumeration date
02/15/2017
Last updated
10/18/2021
Update your record
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