Individual
RYAN RAY HENRIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2300 SWAN LAKE BLVD STE 103, INDEPENDENCE, IA 50644-9708
(319) 334-5155
(319) 334-6166
Mailing address
4725 MERLE HAY RD STE 107, DES MOINES, IA 50322-1983
(515) 360-1226
(515) 331-3191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
075097
IA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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