Individual
RYAN JACOB BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3896 N SCHREIBER WAY, COEUR D ALENE, ID 83815-8362
(208) 666-6665
(208) 475-7708
Mailing address
3896 N SCHREIBER WAY, COEUR D ALENE, ID 83815-8362
(208) 666-6665
(208) 475-7708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2952
ID
225100000X
Physical Therapist
PT60037722
WA
Other
Enumeration date
08/22/2008
Last updated
05/25/2023
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