Individual
RYAN THAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8540 SCARBOROUGH DR, COLORADO SPRINGS, CO 80920-7502
(709) 597-0822
(719) 599-4606
Mailing address
8540 SCARBOROUGH DR, COLORADO SPRINGS, CO 80920-7502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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