Individual
MR. RYAN LESLIE MYHRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5251 E. EXCHANGE WAY, NAMPA, ID 83687
(208) 466-9642
(208) 466-9104
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2097
ID
Other
Enumeration date
09/06/2006
Last updated
10/06/2009
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