Individual provider · NPI-1
Dr. Ryan Luis Adkins, PT, DPT, CSCS
Physical Therapist · Saint Louis, MO
NPI number1700484383
StatusActive
Last updated in NPPESOct 15, 2020
Details
- NPI
- 1700484383
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ryan Luis Adkins
- Credential
- PT, DPT, CSCS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2020
- Certification date
- Oct 15, 2020
- Last updated
- Oct 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2020034760 | MO | Yes |
Practice location
4444 Forest Park Ave Unit 1210Saint Louis, MO 63108-2212
Phone 314-286-1940
Mailing address
8149 Florence AveBrentwood, MO 63144-2553
Phone 847-284-7799
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