Individual
RYAN WALLACE NYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(763) 588-0811
(763) 520-0355
Mailing address
11913 BAYPOINT DR, BURNSVILLE, MN 55337-3368
(952) 890-7682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7395
MN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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