Healthcare Provider Details

I. General information

NPI: 1568389583
Provider Name (Legal Business Name): RYAN ACE LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 GLASGOW ST
POTTSTOWN PA
19464-6635
US

IV. Provider business mailing address

426 GLASGOW ST
POTTSTOWN PA
19464-6635
US

V. Phone/Fax

Practice location:
  • Phone: 267-281-4649
  • Fax:
Mailing address:
  • Phone: 267-281-4649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG015500
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: