Healthcare Provider Details

I. General information

NPI: 1730773896
Provider Name (Legal Business Name): RYAN EUGENE DENNY DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1442 E CHANDLER BLVD STE 108
PHOENIX AZ
85048-6265
US

IV. Provider business mailing address

1442 E CHANDLER BLVD STE 108
PHOENIX AZ
85048-6265
US

V. Phone/Fax

Practice location:
  • Phone: 480-660-8877
  • Fax: 480-660-8877
Mailing address:
  • Phone: 480-660-8877
  • Fax: 480-660-8877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number31633
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: