Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Jeffrey Hackworth

Individual provider Peer Specialist · NPI 1164142550

Ryan Jeffrey Hackworth is a Peer Specialist in Richmond, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

400 Stoddard Rd
Richmond, MI 48062-2505
Phone: (810) 392-2167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1164142550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022
Mailing address420 Huron Ave Apt 2, Port Huron, MI 48060-3876

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