Individual
MR. RYAN JACOB BANDERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5806
(573) 331-5028
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007023010
MO
Other
Enumeration date
09/14/2007
Last updated
03/08/2021
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