Individual
RYAN M TAKESHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
777 E MAIN ST STE 108, BOZEMAN, MT 59715-3809
(406) 589-6083
(406) 219-0403
Mailing address
11 GARDNER PARK DR, BOZEMAN, MT 59715-9229
(406) 589-6083
(406) 219-0403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27185
MT
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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