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Individual

RYAN BRANSTETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
100 E VINE ST, MURFREESBORO, TN 37130-3734
(417) 622-8369
Mailing address
3122 S MONROE AVE, JOPLIN, MO 64804-1451
(471) 622-8369

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2004030105
MO

Other

Enumeration date
10/01/2006
Last updated
07/08/2007
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