Healthcare Provider Details

I. General information

NPI: 1881985679
Provider Name (Legal Business Name): RYON EDWARD HOKENS P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2011
Last Update Date: 04/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19596 HWY M28 EAST
EWEN MI
49925-0288
US

IV. Provider business mailing address

PO BOX 288
EWEN MI
49925-0288
US

V. Phone/Fax

Practice location:
  • Phone: 906-988-2545
  • Fax:
Mailing address:
  • Phone: 906-988-2545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501011372
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number5501011372
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: