Provider Demographics
NPI:1679860647
Name:HILL, RYAN PATRICK (DPT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:PATRICK
Last Name:HILL
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 1:263 TREELAND DR STE E
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-3096
Mailing Address - Country:US
Mailing Address - Phone:803-856-9093
Mailing Address - Fax:888-418-8683
Practice Address - Street 1:263 TREELAND DR STE E
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-3096
Practice Address - Country:US
Practice Address - Phone:803-856-9093
Practice Address - Fax:888-418-8683
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6222225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist