Most Relevant Information
Provider Data
| NPI Number: | 1003200668 |
| Provider Name: | KEEGAN MARIE RYAN PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 9343882-2401 |
Most Important Dates
| Enumeration Date: | 03/22/2015 |
| Last Updated: | 05/13/2024 |
Provider Practice Location
100 N MARIO CAPECCHI DR
SALT LAKE CITY
UT
841131103
Practice Location Phone/Fax
| Phone: | 8016624980 |
| Fax: |
Provider Mailing Location
100 N MARIO CAPECCHI DR
SALT LAKE CITY
UT
841131103
Provider Mailing Phone/Fax
| Phone: | 8016624980 |
| Fax: |