Individual
JOHN ANDREW BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
50 E HICKMAN RD, WAUKEE, IA 50263-5011
(515) 216-2999
(515) 216-2990
Mailing address
50 E HICKMAN RD, WAUKEE, IA 50263-5011
(515) 216-2999
(515) 216-2990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03813
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467736181
—
IA
01
—
P01403218
RR MEDICARE
IA
Enumeration date
09/29/2011
Last updated
02/23/2015
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