Individual
RYAN C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 333-2663
Mailing address
1375 N WELLNESS WAY, BLOOMINGTON, IN 47404-9786
(812) 676-4111
(812) 676-4110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009109A
IN
Other
Enumeration date
10/16/2006
Last updated
02/15/2019
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