Provider Demographics
NPI:1295330686
Name:YORK, RYAN R (DPT)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:R
Last Name:YORK
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3118 ROSS CLARK CIR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-3049
Mailing Address - Country:US
Mailing Address - Phone:334-673-2422
Mailing Address - Fax:334-673-2445
Practice Address - Street 1:3118 ROSS CLARK CIR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-3049
Practice Address - Country:US
Practice Address - Phone:334-673-2422
Practice Address - Fax:334-673-2445
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6948225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist