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Ryan Leisy, DC
Chiropractor in Ponderay, Idaho
NPI 1982741195

Ryan Leisy is a Chiropractor based in Kootenai, ID. Ryan Leisy practices in Ponderay, ID and has the professional credentials of DC. The NPI Number for Ryan Leisy is 1982741195 and holds a License No. CH34717 (Idaho).

The current practice location address for Ryan Leisy is 30544 Highway 200 Ste 330, Ponderay, ID and can be reached out via phone at 208-265-1900. You can also correspond with Ryan Leisy through the mailing address at P.O. BOX 26, KOOTENAI, ID - 83840-5055 (mailing address contact number: 208-265-1900).

Location: 30544 Highway 200 Ste 330, Ponderay, ID, 83840-5055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982741195
Provider Name
Ryan Leisy
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
30544 Highway 200 Ste 330, Ponderay, ID, 83840-5055
Phone Number
208-265-1900
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
30544 Highway 200 Ste 330
City
Ponderay
State
Idaho
Zip
83852-5005
Phone Number
208-265-1900
Fax Number
person
Provider Business Mailing Address Details
Address
30544 Highway 200 Ste 330
City
Ponderay
State
Idaho
Zip
83852-5005
Phone Number
208-265-1900
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH34717 (Washington)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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