MEDICARE: DR. JEREMY BLAIR RYAN D.C.

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
1	111N00000X	Chiropractor	T-00719	KS

General Provider Information

NPI Number	:	1598789927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEREMY BLAIR RYAN D.C.

Provider Business Mailing Address
First Line	:	1110 FAITH DR
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-5204
Country	:	US
Telephone Number	:	785-823-7131
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 FAITH DR
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-5204
Country	:	US
Telephone Number	:	785-823-7131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	04/14/2026

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