Individual
SCOTT PRESTON RANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5210 RIVER RD N, KEIZER, OR 97303-4568
(503) 393-3624
Mailing address
803 MAIN ST, TYNDALL, SD 57066-2116
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
6604
OR
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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