Individual
MR. DEREK RYDEN HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., DPT
Contact information
Practice address
2269 NORTHWEST LOOP, STEPHENVILLE, TX 76401
(254) 965-2040
(254) 965-7394
Mailing address
2269 NORTHWEST LOOP, STEPHENVILLE, TX 76401
(254) 965-2040
(254) 965-2723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3102935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184971301
—
TX
Enumeration date
01/11/2007
Last updated
09/04/2008
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