Provider Demographics
NPI:1316838857
Name:OLSKER, RYAN KEITH
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:KEITH
Last Name:OLSKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4606 AMESBURY DR APT 233
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-4821
Mailing Address - Country:US
Mailing Address - Phone:949-877-9818
Mailing Address - Fax:
Practice Address - Street 1:6243 RETAIL RD STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7869
Practice Address - Country:US
Practice Address - Phone:214-890-9853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14069632251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic