Individual
RYAN HAVERKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
715 W MAMIE EISENHOWER AVE, BOONE, IA 50036-3930
(515) 432-5274
Mailing address
6455 GALLERIA DR APT 5408, WEST DES MOINES, IA 50266-6759
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
092165
IA
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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