Provider Demographics
NPI:1649649872
Name:SCHLOSSER, RYAN (OTR/L)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:SCHLOSSER
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2391 WOODLAND TRL
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-9684
Mailing Address - Country:US
Mailing Address - Phone:260-437-5450
Mailing Address - Fax:
Practice Address - Street 1:2391 WOODLAND TRL
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-9684
Practice Address - Country:US
Practice Address - Phone:260-437-5450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31005941A171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor