Individual
RYAN THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4235 N 90TH ST, OMAHA, NE 68134-4136
(402) 934-0045
(402) 934-6562
Mailing address
4235 N 90TH ST, OMAHA, NE 68134-4136
(402) 934-0045
(402) 934-6562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3975
NE
Other
Enumeration date
06/24/2019
Last updated
07/08/2019
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