Individual
RYAN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
3420 E STATE BLVD, FORT WAYNE, IN 46805-5605
(260) 484-3120
(260) 969-0104
Mailing address
3420 E STATE BLVD, FORT WAYNE, IN 46805-5605
(260) 484-3120
(260) 969-0104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002697A
IN
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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