Provider Demographics
NPI:1447715412
Name:JOYNER, RYANN JOY (LMT)
Entity type:Individual
Prefix:
First Name:RYANN
Middle Name:JOY
Last Name:JOYNER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 KENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:OMAK
Mailing Address - State:WA
Mailing Address - Zip Code:98841-9380
Mailing Address - Country:US
Mailing Address - Phone:509-322-6166
Mailing Address - Fax:
Practice Address - Street 1:2590 ELMWAY
Practice Address - Street 2:
Practice Address - City:OKANOGAN
Practice Address - State:WA
Practice Address - Zip Code:98840-9629
Practice Address - Country:US
Practice Address - Phone:509-557-6464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60923719225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist