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NPI Code Detail

MEDICARE: RYAN ANDREW DESANTI PT, DPT

MEDICARE: RYAN ANDREW DESANTI PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT021075OH

General Provider Information

NPI Number : 1538918909
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN ANDREW DESANTI PT, DPT
Provider Business Mailing Address
First Line : 3680 SATURN RD
Second Line :
City : HILLIARD
State : OH
Zip : 43026-2568
Country : US
Telephone Number : 614-535-5991
Fax Number :
Provider Business Practice Location Address
First Line : 731 BETA DR
Second Line :
City : MAYFIELD VILLAGE
State : OH
Zip : 44143-2366
Country : US
Telephone Number : 440-461-2006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2024
Last Update Date : 05/16/2024

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