Individual
RYAN DAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2037 E 17TH ST, IDAHO FALLS, ID 83404-6430
(208) 529-3355
(208) 529-9581
Mailing address
2037 E 17TH ST, IDAHO FALLS, ID 83404-6430
(208) 529-3355
(208) 529-9581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3592
ID
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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