Individual
JAY RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1311 WAKARUSA DR, LAWRENCE, KS 66049-4798
(785) 749-1300
Mailing address
8813 W 77TH ST, OVERLAND PARK, KS 66204-2528
(471) 209-5437
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05063
KS
Other
Enumeration date
06/08/2015
Last updated
06/22/2015
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