Individual
RYAN JACOB WARINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPTA
Contact information
Practice address
8400 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8653
(928) 775-9999
(928) 775-9998
Mailing address
8400 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8653
(928) 775-9999
(928) 775-9998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11730A
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ50583
CPR CERTIFICATION
AZ
Enumeration date
08/21/2015
Last updated
08/21/2015
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