Individual
BRYAN RAKSNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12866
CT
225100000X
Physical Therapist
Primary
PT03795
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12866
LICENSE NUMBER
CT
01
—
PT03795
RI PT LICENSE
RI
Enumeration date
11/05/2020
Last updated
05/13/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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