Individual
RYAN LEO HEMELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT MOTR L
Contact information
Practice address
1 ORTHOPAEDIC PL, ST AUGUSTINE, FL 32086-4202
(904) 825-0540
(904) 209-1057
Mailing address
965 SALTWATER CIR, ST AUGUSTINE, FL 32080-6305
(904) 460-0079
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT21456
FL
225X00000X
Occupational Therapist
OT11336
FL
225XH1200X
Hand Occupational Therapist
OT11336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002844900
—
FL
01
—
1174540001
CIGNA GOVT SVCS DMERC
FL
01
—
P00667168
MEDICARE RAILROAD
—
Enumeration date
06/15/2006
Last updated
10/17/2013
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