MR. Ricky Neil Risenhoover, RPT

NPI #1285662916 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1285662916
Entity Type: Individual
Name: MR. Ricky Neil Risenhoover, RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: Jun 29, 2006
Last Updated: Feb 8, 2008

Practice Location

Address: 23 PLAZA SOUTH ST
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-4750
Phone: (918) 431-1919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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