Provider Demographics
NPI:1568732824
Name:MAREK, RYAN JAMES (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:JAMES
Last Name:MAREK
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5606 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:HARAHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70123-5111
Mailing Address - Country:US
Mailing Address - Phone:504-733-0254
Mailing Address - Fax:504-734-8869
Practice Address - Street 1:2372 SAINT CLAUDE AVE STE 264
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-8397
Practice Address - Country:US
Practice Address - Phone:504-733-0254
Practice Address - Fax:504-734-8869
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09005R2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic