Provider Demographics
NPI:1841689544
Name:REH, RYAN MARIE (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:MARIE
Last Name:REH
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ABLE LN
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82072-9535
Mailing Address - Country:US
Mailing Address - Phone:307-399-3098
Mailing Address - Fax:
Practice Address - Street 1:3055 ROSLYN ST UNIT 200
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3324
Practice Address - Country:US
Practice Address - Phone:720-848-3668
Practice Address - Fax:720-553-2778
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-19
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAT.00020882255A2300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer