Individual
RYAN THREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
350 S 38TH CT, SUITE 110, RENTON, WA 98055-5743
(425) 226-5922
(425) 226-5927
Mailing address
350 S 38TH CT, SUITE 110, RENTON, WA 98055-5743
(425) 226-5922
(425) 226-5927
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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