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Individual

CARTER RYAN PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
7650 SE 27TH ST STE 112, MERCER ISLAND, WA 98040-3060
(206) 230-8320
Mailing address
850 W IRONWOOD DR STE 202, COEUR D ALENE, ID 83814-4903
(208) 601-6038
(208) 664-1226

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
7471880
ID
225100000X
Physical Therapist
Primary
PT61648478
WA
261QP2000X
Physical Therapy Clinic/Center
293464
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7471880
PT
ID
Enumeration date
08/16/2017
Last updated
10/27/2025
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