Provider Demographics
NPI:1962650812
Name:BOYD, RYAN MICHAEL (MS, PT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:MICHAEL
Last Name:BOYD
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Gender:M
Credentials:MS, PT
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Mailing Address - Street 1:100 WHEATFIELD DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-7698
Mailing Address - Country:US
Mailing Address - Phone:570-296-5911
Mailing Address - Fax:570-296-5931
Practice Address - Street 1:100 WHEATFIELD DR
Practice Address - Street 2:SUITE 1
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-7698
Practice Address - Country:US
Practice Address - Phone:570-296-5911
Practice Address - Fax:570-296-5931
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2010-01-27
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Provider Licenses
StateLicense IDTaxonomies
NY030586225100000X
PA020130225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist