Provider Demographics
NPI:1073177606
Name:KLUENER, RYAN OLIVIA (PTA)
Entity Type:Individual
Prefix:MRS
First Name:RYAN
Middle Name:OLIVIA
Last Name:KLUENER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:RYAN
Other - Middle Name:OLIVIA
Other - Last Name:FLAHERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:207 ASSISIVIEW CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-5975
Mailing Address - Country:US
Mailing Address - Phone:513-967-3077
Mailing Address - Fax:
Practice Address - Street 1:1701 LLANFAIR AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2972
Practice Address - Country:US
Practice Address - Phone:513-681-4230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPTA.10737225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant