Healthcare Provider Details

I. General information

NPI: 1154235455
Provider Name (Legal Business Name): HANNAH RYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 BELL ST APT 13
SACRAMENTO CA
95825-3592
US

IV. Provider business mailing address

1049 BELL ST APT 13
SACRAMENTO CA
95825-3592
US

V. Phone/Fax

Practice location:
  • Phone: 530-640-3998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number53390
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: