Individual
RYAN HAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 JUSTICE AVE, LOGAN, WV 25601-3119
(304) 687-4435
Mailing address
400 JUSTICE AVE, LOGAN, WV 25601-3119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3370
WV
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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