Individual
RYAN EDWARD GRIESENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
141 HILLCREST DR, CLARKSVILLE, TN 37043
(931) 552-4340
(931) 552-0999
Mailing address
608 NORRIS AVE, NASHVILLE, TN 37204-3708
(615) 695-1455
(615) 695-1483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11455
TN
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035204
—
TN
Enumeration date
04/06/2017
Last updated
09/05/2018
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