RYAN IKAIKA SELFAISON

OREM, UT
NPI1356131833
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  10261211-2401)
Enumeration Date2025-05-08
Last Update Date2025-05-08
Business Address
RYAN IKAIKA SELFAISON
865 N 900 W
OREM, UT 84057-7701
Phone number: 385-236-5365
Mailing Address
RYAN IKAIKA SELFAISON
854 N 560 W
LEHI, UT 84043-3528
Phone number: 808-220-5329
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