Ryan Ray Henriksen, DPT

NPI #1942675061 in Independence, Iowa

Provider Information

NPI Number: 1942675061
Entity Type: Individual
Name: Ryan Ray Henriksen, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Dec 1, 2015
Last Updated: Dec 1, 2015

Practice Location

Address: 2300 SWAN LAKE BLVD STE 103
City: Independence
State: Iowa
ZIP Code: 50644-9708
Phone: (319) 334-5155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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