Individual
DR. RYAN WETTSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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
208100000X
Physical Medicine & Rehabilitation Physician
2019019016
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTL.0013207
CO
225100000X
Physical Therapist
40QA02161400
NJ
225100000X
Physical Therapist
5501302558
MI
225100000X
Physical Therapist
PT03646
RI
Other
Enumeration date
04/07/2020
Last updated
05/30/2023
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