Individual
RYAN H. HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
321 FLORA GENE AVE W STE D, WIGGINS, MS 39577-5010
(601) 523-1994
(601) 523-1995
Mailing address
321 FLORA GENE AVE W STE D, WIGGINS, MS 39577-5010
(601) 523-1994
(601) 523-1995
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4487
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7838791
—
MS
Enumeration date
08/24/2009
Last updated
02/04/2021
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