Individual
DR. RYAN BRADLEY DUTOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9070 W CHEYENNE AVE STE 100, LAS VEGAS, NV 89129-8935
(702) 655-8535
(702) 656-5863
Mailing address
9070 W CHEYENNE AVE STE 100, LAS VEGAS, NV 89129-8935
(702) 655-8535
(702) 656-5863
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2578
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2578
NV STATE LICENSE
NV
Enumeration date
09/19/2011
Last updated
09/19/2011
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