Provider Demographics
NPI:1629205638
Name:ROSENSTEEL, RYAN T (DPT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:T
Last Name:ROSENSTEEL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 E MARKET ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-2160
Mailing Address - Country:US
Mailing Address - Phone:717-242-4840
Mailing Address - Fax:717-242-4841
Practice Address - Street 1:152 E MARKET ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-2160
Practice Address - Country:US
Practice Address - Phone:717-242-4840
Practice Address - Fax:717-242-4841
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist