Organization
RYKEN-MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HENDERSON (CREDENTIALING MANAGER)
(513) 685-0949
Entity
Organization
Contact information
Practice address
290 S ALMA SCHOOL RD, SUITE 5-7, CHANDLER, AZ 85224-7632
(480) 857-1991
(480) 857-2036
Mailing address
290 S ALMA SCHOOL RD, SUITE 5-7, CHANDLER, AZ 85224-7632
(480) 857-1991
(480) 857-2036
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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