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Individual

RYAN EDWARD COOLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
13314 MANCHESTER RD, DES PERES, MO 63131-1709
(314) 775-0183
Mailing address
13314 MANCHESTER RD, DES PERES, MO 63131-1709
(314) 775-0183

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2020037919
MO

Other

Enumeration date
04/05/2021
Last updated
04/05/2021
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