Individual
RYAN LEO KIEDROWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1180 N VERNAL AVE, STE 3, VERNAL, UT 84078-4819
(435) 789-0022
Mailing address
PO BOX 1875, VERNAL, UT 84078-5875
(435) 789-0022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
353301-2401
UT
Other
Enumeration date
06/28/2005
Last updated
07/08/2007
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