Provider Demographics
NPI:1780194571
Name:WESNEY, RYANN (PT)
Entity Type:Individual
Prefix:
First Name:RYANN
Middle Name:
Last Name:WESNEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1638 LAWSON ST
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-9009
Mailing Address - Country:US
Mailing Address - Phone:740-645-1982
Mailing Address - Fax:
Practice Address - Street 1:100 WURTLAND AVE
Practice Address - Street 2:
Practice Address - City:WURTLAND
Practice Address - State:KY
Practice Address - Zip Code:41144-1445
Practice Address - Country:US
Practice Address - Phone:606-836-0931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH017106225100000X
KY007216225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist