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NPI Code Detail

MEDICARE: RYAN J MAYNES DPT

MEDICARE: RYAN J MAYNES DPT
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 TherapistPT60546430WA

General Provider Information

NPI Number : 1679955371
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN J MAYNES DPT
Provider Business Mailing Address
First Line : 12B N UNIVERSITY RD
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99206-5205
Country : US
Telephone Number : 509-818-0086
Fax Number :
Provider Business Practice Location Address
First Line : 12B N UNIVERSITY RD
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99206-5205
Country : US
Telephone Number : 509-818-0086
Fax Number : 509-606-0439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2015
Last Update Date : 09/02/2023

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Directions to “ RYAN J MAYNES DPT” Practice Location

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