RYAN A. DECKER

SUMMERFIELD, FL
NPI1275846016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT 25486)
Additional Taxonomies225100000X Physical Therapist
(Licence: MI  5501014086)
Enumeration Date2010-07-21
Last Update Date2010-07-21
Business Address
Mr. RYAN A. DECKER DPT
10969 SE 175TH PL
SUMMERFIELD, FL 34491-0902
Phone number: 352-347-8877
Mailing Address
Mr. RYAN A. DECKER DPT
2540 FLORAL DR
ZEELAND, MI 49464-9106
Phone number: 616-772-2184