Individual
RYAN KNUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15425 MANCHESTER RD, SUITE 28, BALLWIN, MO 63011-3077
(636) 220-6969
(636) 220-6973
Mailing address
4273 KEATON CROSSING BLVD, O FALLON, MO 63368-8220
(636) 206-6540
(636) 422-1051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014004291
MO
Other
Enumeration date
02/26/2014
Last updated
02/26/2021
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