Ryan Fairchild
Ryan Fairchild is a Physical Therapist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
900 Main St Ste 450Peoria, IL 61602-1005
Phone: (309) 672-4568
Fax: (309) 672-4569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070-012128 (IL) |
|---|
Record details
| NPI number | 1073632154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 28, 2007 |
| Last updated in NPPES | March 25, 2010 |
| Mailing address | 900 Main St, Ste 450, Peoria, IL 61602-1005 |
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