Provider Demographics
NPI:1881185098
Name:SCHULER, RYAN (LMT)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:SCHULER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20240 REED LN APT 205
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3377
Mailing Address - Country:US
Mailing Address - Phone:760-978-0062
Mailing Address - Fax:
Practice Address - Street 1:2422 NE 2ND ST
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-3522
Practice Address - Country:US
Practice Address - Phone:760-978-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR22173225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist