RYAN DEVIN RICHARD DAUGHERTY NPI 1962756825

NPI Information

NPI: 1962756825
Provider Name: RYAN DEVIN RICHARD DAUGHERTY
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
4404 W BONANZA RD
LAS VEGAS, NV
ZIP 89107
Phone: (702) 498-2635
Get Directions

Ryan Devin Richard Daugherty is a rehabilitation practitioner in Las Vegas, NV. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Ryan Devin Richard Daugherty NPI is 1962756825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4404 W BONANZA RD
LAS VEGAS, NV
ZIP 89107-127
Phone: (702) 498-2635

The enumeration date for this NPI number is 10/30/2012 and was last updated on 10/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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