Provider Demographics
NPI:1780239566
Name:STROH, RYAN CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:CHARLES
Last Name:STROH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9212 E MONTGOMERY AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-4267
Mailing Address - Country:US
Mailing Address - Phone:509-255-8989
Mailing Address - Fax:509-315-8021
Practice Address - Street 1:9212 E MONTGOMERY AVE STE 203
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4267
Practice Address - Country:US
Practice Address - Phone:509-255-8989
Practice Address - Fax:509-315-8021
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60979298111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor