Individual
RYAN HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
1160 SW SIMPSON AVE STE 200, BEND, OR 97702-3542
(541) 322-9045
(541) 322-9044
Mailing address
805 SW INDUSTRIAL WAY STE 3, BEND, OR 97702-1093
(541) 322-9045
(541) 322-9044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
302429
CA
225100000X
Physical Therapist
Primary
65570
OR
Other
Enumeration date
09/09/2022
Last updated
01/27/2026
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