Individual
RYAN OLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3854 E 300 N, RIGBY, ID 83442-5422
(208) 228-0311
Mailing address
3854 E 300 N, RIGBY, ID 83442-5422
(208) 228-0311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4765
ID
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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