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NPI Code Detail

MEDICARE: JUANITA RYAN

MEDICARE: JUANITA RYAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1102654KS

General Provider Information

NPI Number : 1326260571
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUANITA RYAN
Provider Business Mailing Address
First Line : 15509 W 92ND PL
Second Line :
City : LENEXA
State : KS
Zip : 66219-1923
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6700 ANTIOCH RD
Second Line : SUITE 430
City : OVERLAND PARK
State : KS
Zip : 66204-1258
Country : US
Telephone Number : 913-952-9225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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Directions to “ JUANITA RYAN ” Practice Location

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