Individual
DR. RYAN DAVID ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2192 W 100 N, HURRICANE, UT 84737-1329
(435) 767-0747
(435) 767-0749
Mailing address
2192 W 100 N, HURRICANE, UT 84737-1329
(435) 767-0747
(435) 767-0749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12060111-2401
UT
225100000X
Physical Therapist
4528
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12060111-2401
STATE OF UTAH DEPARTMENT OF COMMERCE DIVISION OF PROFESSIONAL LICENSING
UT
01
—
4528
STATE OF NEVADA PHYSICAL THERAPY BOARD
NV
Enumeration date
05/24/2021
Last updated
09/17/2024
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