Doctor Name: | RYAN SMITH |
NPI Number: | 1013317379 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 038004 |
Business Practice Address: | 6245 Sheridan Dr 112 Williamsville, NY - 142214834 |
Business Phone Number: | 7165650818 |
Business Fax Number: | |
Mailing Address: | 107 Ne 83rd St, A VANCOUVER |
State: | WA |
Postal Code: | 986657964 |
Phone Number: | 3609074206 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2014 |
NPI Last Update Date: | 08/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 038004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |