Individual
RYAN SHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15587 MANCHESTER RD, BALLWIN, MO 63011-3001
(636) 526-0300
Mailing address
2430 BEAUJOLAIS DR, O FALLON, MO 63368-3598
(417) 234-7277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004020800
LICENSE#
MO
Enumeration date
08/29/2006
Last updated
07/08/2007
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