Provider Demographics
NPI:1942268321
Name:RYGH, JAN MARIE (PT)
Entity Type:Individual
Prefix:MR
First Name:JAN
Middle Name:MARIE
Last Name:RYGH
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 1:505 LAKESIDE DR S
Mailing Address - Street 2:
Mailing Address - City:BAYPORT
Mailing Address - State:MN
Mailing Address - Zip Code:55003-1306
Mailing Address - Country:US
Mailing Address - Phone:651-342-0778
Mailing Address - Fax:
Practice Address - Street 1:652 TRANSFER RD
Practice Address - Street 2:SUITE 16
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1427
Practice Address - Country:US
Practice Address - Phone:651-646-1625
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2880225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist