| Doctor Name: | KRISTA LYN RYAN |
| NPI Number: | 1417396458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 12348-24 |
| Business Practice Address: | 25117 Sw Parkway Ave Suite D Wilsonville, OR - 970709697 |
| Business Phone Number: | 5035703665 |
| Business Fax Number: | |
| Mailing Address: | 619 E Laurel St Apt 4, BELLINGHAM |
| State: | WA |
| Postal Code: | 982255652 |
| Phone Number: | 5072722315 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2013 |
| NPI Last Update Date: | 08/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 12348-24 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| 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 |