Individual
RYAN FREDERIC MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Mailing address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06615
OR
225100000X
Physical Therapist
Primary
PTL.0012590
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500639158
—
OR
01
—
P01197266
RR MEDICARE
WA
Enumeration date
09/14/2011
Last updated
10/14/2022
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