Individual
RICKY MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
614 W CASS ST # B102, BLUE HILL, NE 68930-5514
(269) 953-2030
Mailing address
PO BOX 102, BLUE HILL, NE 68930-0102
(269) 953-2030
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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