| Doctor Name: | RYAN PATRICK FARLEY |
| NPI Number: | 1124263611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | AT |
| License Number: | |
| Business Practice Address: | 97 Sherman Dr St Johnsbury, VT - 058199280 |
| Business Phone Number: | 8027451105 |
| Business Fax Number: | |
| Mailing Address: | 97 Sherman Dr, ST JOHNSBURY |
| State: | VT |
| Postal Code: | 058199280 |
| Phone Number: | 8027451105 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2008 |
| NPI Last Update Date: | 12/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |