Individual
MR. RYAN LEE DECAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
502 N 9TH AVE, VINTON, IA 52349-2254
(319) 472-6372
Mailing address
6224 WINDY MEADOW LN, CEDAR RAPIDS, IA 52411-6665
(319) 378-1296
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000068
IA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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