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NPI Code Detail

MEDICARE: RYAN LITTLEJOHN

MEDICARE: RYAN LITTLEJOHN
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
1225100000XPhysical Therapist5501304473MI

General Provider Information

NPI Number : 1700710332
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN LITTLEJOHN
Provider Business Mailing Address
First Line : 6439 GARNERS FERRY RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-1638
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6439 GARNERS FERRY RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-1638
Country : US
Telephone Number : 803-776-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/10/2026

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