Individual
MS. JESSICA D RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
680 W NYE LN, SUITE 205, CARSON CITY, NV 89703-1575
(775) 882-2211
(775) 882-2212
Mailing address
680 W NYE LN, SUITE 205, CARSON CITY, NV 89703-1575
(775) 882-2211
(775) 882-2212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2558
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205122439
—
NV
01
—
FH478Z
MEDICARE PTAN
NV
Enumeration date
06/27/2011
Last updated
08/23/2012
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