Individual
RYAN LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3992 ANDOVER DR, BAY CITY, MI 48706-2302
(989) 213-5632
Mailing address
3992 ANDOVER DR, BAY CITY, MI 48706-2302
(989) 213-5632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004196
MI
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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