=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164641726
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SCHUYLER RYAN MCHENRY N.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2007
-----------------------------------------------------
Last Update Date | 05/15/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7309 E STETSON DR SUITE 202
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85251-3487
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-815-0210
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7309 E STETSON DR 202
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85251-3487
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-815-0210
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 175F00000X
-----------------------------------------------------
Taxonomy Name | Naturopath
-----------------------------------------------------
License Number | 06-940
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------