Most Relevant Information
Provider Data
| NPI Number: | 1003237850 |
| Provider Name: | RYAN ADAMS PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 12333-24 |
Most Important Dates
| Enumeration Date: | 12/20/2013 |
| Last Updated: | 11/17/2023 |
Provider Practice Location
1300 EGG HARBOR RD STE 152
STURGEON BAY
WI
542351248
Practice Location Phone/Fax
| Phone: | 9207460410 |
| Fax: |
Provider Mailing Location
323 S 18TH AVE
STURGEON BAY
WI
542351401
Provider Mailing Phone/Fax
| Phone: | 9207460410 |
| Fax: |