Individual
MR. RYAN HADLEY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
101 NW 1ST ST, 114, EVANSVILLE, IN 47708-1259
(812) 402-0444
(812) 402-0449
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011575A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006466
PHYSICAL THERAPY LICENSE
KY
01
—
05011575A
PHYSICAL THERAPY LICENSE
IN
Enumeration date
07/11/2011
Last updated
12/02/2016
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