RYAN JAY ESTUS

AMMON, ID
NPI1730706581
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  6833)
Enumeration Date2020-06-28
Last Update Date2021-05-28
Business Address
RYAN JAY ESTUS DPT
1615 CURLEW DR
AMMON, ID 83406-4718
Phone number: 208-516-1204
Mailing Address
RYAN JAY ESTUS DPT
246 N CURLEW DR APT 11307
AMMON, ID 83401-1458
Phone number: 405-742-7830