Doctor Name: | DR. RYAN JOSEPH SCULLEY |
NPI Number: | 1659576155 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 7834 |
Business Practice Address: | 17100 E Shea Blvd Ste 320 Fountain Hills, AZ - 852686654 |
Business Phone Number: | 4808168300 |
Business Fax Number: | 4808164016 |
Mailing Address: | 3011 S Lindsay Rd Ste 101, GILBERT |
State: | AZ |
Postal Code: | 852960702 |
Phone Number: | 4807262287 |
Fax Number: | 4808219360 |
NPI Enumeration Date: | 06/15/2007 |
NPI Last Update Date: | 09/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 7834 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |