RYAN SCOTT MIZELLE

ANCHORAGE, AK
NPI1700399540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AK  126754)
Enumeration Date2017-11-15
Last Update Date2017-11-15
Business Address
RYAN SCOTT MIZELLE
6311 DEBARR RD STE J
ANCHORAGE, AK 99504-1777
Phone number: 336-755-6446
Mailing Address
RYAN SCOTT MIZELLE
6311 DEBARR RD STE J
ANCHORAGE, AK 99504-1777
Phone number: 336-755-6446