Individual
RYAN J DOMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3160 8TH ST SW, SUITE 1, ALTOONA, IA 50009-1023
(515) 967-4580
(515) 967-4899
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
(312) 640-0407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005194
IA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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