Individual
RYAN WHOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1358
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3043
NV
2251X0800X
Orthopedic Physical Therapist
Primary
3043
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13655893
CAQH
NV
Enumeration date
10/14/2014
Last updated
08/04/2016
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