Ryan Pezley

NPI #1174854368 in Mexico, Missouri

Provider Information

NPI Number: 1174854368
Entity Type: Individual
Name: Ryan Pezley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 27, 2010
Last Updated: Jan 27, 2010

Practice Location

Address: 1701 LAWRENCE PL
City: Mexico
State: Missouri
ZIP Code: 65265-3422
Phone: (573) 581-4452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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