Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | CH00033830 | WA |
NPI | 1750490843 |
---|---|
Provider Name | Ryan T Schultz |
First Address | Arlington, WA 98223-8784 |
Second Address | Arlington, WA 98223-8784 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U78433 | (02) | WA |