Individual
RYAN FAYE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
409 DAISY DR # F-3, TAHLEQUAH, OK 74464-7410
(918) 458-9235
(918) 458-9236
Mailing address
PO BOX 25887, OKLAHOMA CITY, OK 73125-0887
(918) 259-1888
(918) 251-3725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5959
OK
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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