Individual
RYAN E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1900 LAFAYETTE RD, SUITE C, PORTSMOUTH, NH 03801-5679
(603) 431-5600
(603) 431-5610
Mailing address
1900 LAFAYETTE RD, SUITE C, PORTSMOUTH, NH 03801-5679
(603) 431-5600
(603) 431-5610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2194
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023200
BC/BS OF MAINE
ME
01
—
08Y007824ME01
BC/BS OF NH
ME
Enumeration date
07/22/2005
Last updated
03/07/2016
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