Individual
RYAN C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
16550 W 78TH ST STE B, EDEN PRAIRIE, MN 55346-4316
(952) 873-7400
(952) 873-7408
Mailing address
16550 W 78TH ST STE B, EDEN PRAIRIE, MN 55346-4316
(952) 873-7400
(952) 873-7408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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