| NPI | 1578017943 |
|---|---|
| Professional Name | RYAN RUSSELL MYRICK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A4508) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 49721) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2019-02-12 |