| Doctor Name: | MR. RYAN LANDY |
| NPI Number: | 1184795254 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 004530 |
| Business Practice Address: | 1508 Rock Quarry Rd Stockbridge, GA - 302815047 |
| Business Phone Number: | 7705073233 |
| Business Fax Number: | 7705074118 |
| Mailing Address: | 700 Park Regency Pl Ne, 1004 ATLANTA |
| State: | GA |
| Postal Code: | 303261271 |
| Phone Number: | 4043537759 |
| Fax Number: | |
| NPI Enumeration Date: | 11/12/2006 |
| NPI Last Update Date: | 10/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 004530 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| 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 |