NPI 1194975821 · live from the CMS NPI Registry
Ryan Andrews
Physical Therapist in Reserve, LA. National Provider Identifier 1194975821, active.
NPI record
| NPI | 1194975821 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4080 W Airline Hwy, Reserve, LA 70084 |
| Practice phone | 601-250-4815 |
| Mailing address | 4109 Highway 98 W, Summit, MS 39666 |
| Enumerated | September 30, 2008 |
| Last updated | January 4, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 5101 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.