Individual
RYAN MCCRERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 A STREET, PLUMMER, ID 83851
(208) 686-7041
Mailing address
1100 A STREET, PLUMMER, ID 83851
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5898
ID
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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