| Doctor Name: | RYAN RAY HENRIKSEN |
| NPI Number: | 1942675061 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 075097 |
| Business Practice Address: | 2300 Swan Lake Blvd Ste 103 Independence, IA - 506449708 |
| Business Phone Number: | 3193345155 |
| Business Fax Number: | 3193346166 |
| Mailing Address: | 4725 Merle Hay Rd Ste 107, DES MOINES |
| State: | IA |
| Postal Code: | 503221983 |
| Phone Number: | 5153601226 |
| Fax Number: | 5153313191 |
| NPI Enumeration Date: | 12/01/2015 |
| NPI Last Update Date: | 12/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 075097 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| 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 |