Individual
ROBERT RYAN WOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
805 N RICHARDSON AVE, ROSWELL, NM 88201-4920
(575) 622-6260
Mailing address
805 N RICHARDSON AVE, ROSWELL, NM 88201-4920
(575) 622-6260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3900
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619349743
GROUP NPI
—
05
—
31901581
—
NM
01
—
P01108461
RR MEDICARE
FL
01
—
Y07ZT
FLORIDA BLUE
FL
Enumeration date
10/07/2010
Last updated
08/06/2024
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