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Individual

MR. RYAN BYBEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
2404 S LOCUST ST, STE 5, LAS CRUCES, NM 88001-5789
(505) 521-4188
(505) 521-3668
Mailing address
2404 S LOCUST ST, STE 5, LAS CRUCES, NM 88001-5789
(505) 521-4188
(505) 521-3668

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2306
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43375821
NM
01
NM00NR52
BCBS NM
NM
Enumeration date
01/24/2006
Last updated
03/10/2008
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