Individual
RYAN ANTHONY TAUZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
304 DAVIS ST, INDEPENDENCE, VA 24348
(276) 773-1845
(276) 773-3912
Mailing address
639 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030-3500
(336) 783-9400
(336) 786-9406
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305203605
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1064682
WORKERS COMPENSATION
WV
01
—
267063
BLUE CROSS BLUE SHIELD VA
VA
01
—
C9495
MEDCOST
VA
Enumeration date
08/12/2006
Last updated
05/11/2017
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