Individual
MR. JOHN GERALD RYDESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MOMT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2872
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40143000
—
WI
Enumeration date
11/18/2005
Last updated
05/31/2016
Update your record
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