Individual
KELSEY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 E MCLEOD RD, SUITE 108, BELLINGHAM, WA 98226-6491
(469) 524-5506
Mailing address
15847 N 23RD ST, PHOENIX, AZ 85022-3484
(602) 568-0450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60640607
WA
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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