Individual
RYAN SCOTT SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
8055 FARMINGDALE RD, GERMANTOWN, TN 38138-2347
(803) 602-8086
Mailing address
4337 W OXFORD ST, CEDAR HILLS, UT 84062-8638
(801) 822-1880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11635
TN
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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