Provider Demographics
NPI:1699386573
Name:STUHR, RYAN CHRISTIAN (DPT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:CHRISTIAN
Last Name:STUHR
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 1:1600 DOVE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2438
Mailing Address - Country:US
Mailing Address - Phone:949-502-3388
Mailing Address - Fax:949-502-3304
Practice Address - Street 1:1600 DOVE ST STE 100
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2438
Practice Address - Country:US
Practice Address - Phone:949-502-3388
Practice Address - Fax:949-502-3304
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE