Most Relevant Information
Provider Data
| NPI Number: | 1003647389 |
| Provider Name: | RYAN KRISTOPHER FOX |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 15807 |
Most Important Dates
| Enumeration Date: | 08/09/2024 |
| Last Updated: | 08/09/2024 |
Provider Practice Location
405 N FRONT ST
GREENFIELD
TN
382301531
Practice Location Phone/Fax
| Phone: | 7316780221 |
| Fax: |
Provider Mailing Location
PO BOX 1004
MILAN
TN
383581004
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |