RYAN HENDRICKS

POCATELLO, ID
NPI1598178063
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-3634)
Enumeration Date2014-06-03
Last Update Date2014-06-03
Business Address
-- RYAN HENDRICKS DPT
1224 E HAYDEN ST
POCATELLO, ID 83201-4726
Phone number: 208-283-2748
Mailing Address
-- RYAN HENDRICKS DPT
1224 E HAYDEN ST
POCATELLO, ID 83201-4726
Phone number: 208-283-2748
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