Doctor Name: | RYAN SEAN TUBBS |
NPI Number: | 1053777979 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LAT, ATC |
License Number: | RT006199 |
Business Practice Address: | 4345 Pa-136 Hempfield Area School District Greensburg, PA - 15601 |
Business Phone Number: | 7248502607 |
Business Fax Number: | |
Mailing Address: | 2 Daniel St, GREENSBURG |
State: | PA |
Postal Code: | 156016304 |
Phone Number: | 7246408546 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2016 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | RT006199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |