MR. Ryan Hacking, OTRL

NPI #1306981063 in Lehi, Utah

Provider Information

NPI Number: 1306981063
Entity Type: Individual
Name: MR. Ryan Hacking, OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: OTRL
Enumeration Date: Feb 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2314 PEPPERCORN RD
City: Lehi
State: Utah
ZIP Code: 84043-4772
Phone: (801) 660-7613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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