Individual
RYAN MUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
334 MAIN ST, DICKSON CITY, PA 18519-1668
(570) 307-1767
Mailing address
334 MAIN ST, DICKSON CITY, PA 18519-1668
(570) 307-1767
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004543
PA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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