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Individual

RYAN PATRICK GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
805 BLANKENBAKER PKWY, SUITE 107, LOUISVILLE, KY 40243-1894
(502) 253-0833
(502) 253-0834
Mailing address
2001 MALLORY LN, SUITE 201, FRANKLIN, TN 37067-8233
(615) 373-1350
(615) 221-9054

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5784
KY
225100000X
Physical Therapist
PT7171
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3659508
TN
Enumeration date
11/02/2005
Last updated
11/04/2013
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