Individual
RYAN R SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3150 N WINDING BROOK RD, FLAGSTAFF, AZ 86001-0972
(928) 774-7106
Mailing address
236 W ROSSER ST, PRESCOTT, AZ 86301-4208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9826A
AZ
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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