Individual
RYAN JAY ESTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1615 CURLEW DR, AMMON, ID 83406-4718
(208) 516-1204
(208) 577-6477
Mailing address
246 N CURLEW DR APT 11307, AMMON, ID 83401-1458
(405) 742-7830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6833
ID
Other
Enumeration date
06/28/2020
Last updated
05/28/2021
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