Individual
MR. BERT RYAN REITSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1567 MAIN ST, CHIPLEY, FL 32428-6948
(850) 638-3387
(850) 415-1967
Mailing address
32 HOWELL BLUFF RD, PONCE DE LEON, FL 32455-4632
(941) 228-9134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2421
MN
225100000X
Physical Therapist
Primary
PT13831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2421
PT LICENSE
MN
Enumeration date
11/21/2006
Last updated
09/18/2024
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