Provider Demographics
NPI:1750012001
Name:TOUCHTON, RYAN KAROS
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:KAROS
Last Name:TOUCHTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2623 PLYMOUTH ROCK DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-3213
Mailing Address - Country:US
Mailing Address - Phone:713-894-2949
Mailing Address - Fax:
Practice Address - Street 1:2623 PLYMOUTH ROCK DR
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-3213
Practice Address - Country:US
Practice Address - Phone:713-894-2949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT32474225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist