Provider Demographics
NPI:1427505809
Name:GLAZIER, RYNE JOSEPH
Entity type:Individual
Prefix:
First Name:RYNE
Middle Name:JOSEPH
Last Name:GLAZIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9613 ROYAL LYTHAM DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5163
Mailing Address - Country:US
Mailing Address - Phone:469-733-4042
Mailing Address - Fax:
Practice Address - Street 1:9613 ROYAL LYTHAM DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-5163
Practice Address - Country:US
Practice Address - Phone:469-733-4042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer