Organization
THE RYDER CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY M RYDER DC (OWNER)
(225) 766-9788
Entity
Organization
Contact information
Practice address
6555 PERKINS RD, STE 200, BATON ROUGE, LA 70808-4237
(225) 766-9788
Mailing address
6060 N CENTRAL EXPY, SUITE 424, DALLAS, TX 75206-5209
(225) 766-9788
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1594
LA
Other
Enumeration date
09/30/2013
Last updated
04/07/2014
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