Individual
RYAN MCGLADREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
777 NW WALL ST, SUITE 304, BEND, OR 97701-2731
(541) 788-2001
Mailing address
777 NW WALL ST, SUITE 304, BEND, OR 97701-2731
(541) 788-2001
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
10992
OR
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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