Provider Demographics
NPI:1609048313
Name:RYAN, KAREN JOYCE (RRT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JOYCE
Last Name:RYAN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6542 PREAKNESS PASS
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-4158
Mailing Address - Country:US
Mailing Address - Phone:210-289-2632
Mailing Address - Fax:210-924-3889
Practice Address - Street 1:6542 PREAKNESS PASS
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-4158
Practice Address - Country:US
Practice Address - Phone:210-289-2632
Practice Address - Fax:210-924-3889
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX518432279P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Rehabilitation