Individual
ORIN KELLEY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
804 PANCHERI DR, IDAHO FALLS, ID 83402-3344
(208) 757-4242
(208) 656-1155
Mailing address
804 PANCHERI DR, IDAHO FALLS, ID 83402-3344
(208) 287-9420
(208) 287-9426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5567
ID
Other
Enumeration date
05/29/2018
Last updated
04/09/2024
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