Individual
MR. KEVIN S RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
30 GREAT RD STE 105, ACTON, MA 01720
(978) 252-2800
(978) 219-6200
Mailing address
30 GREAT RD STE 105, ACTON, MA 01720-5684
(978) 252-2800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16058
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613720
HARVARD PILGRIM
—
01
—
Y68110
BCBS
—
Enumeration date
12/06/2006
Last updated
02/12/2026
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