Provider Demographics
NPI:1265586135
Name:POPE, RYAN CHRISTOPHER (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:CHRISTOPHER
Last Name:POPE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CARING WAY
Mailing Address - Street 2:
Mailing Address - City:REDWOOD FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56283-2624
Mailing Address - Country:US
Mailing Address - Phone:507-637-4606
Mailing Address - Fax:507-697-6022
Practice Address - Street 1:101 CARING WAY
Practice Address - Street 2:
Practice Address - City:REDWOOD FALLS
Practice Address - State:MN
Practice Address - Zip Code:56283-2624
Practice Address - Country:US
Practice Address - Phone:507-637-4606
Practice Address - Fax:507-697-6022
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7121225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist