Provider Demographics
NPI:1962241927
Name:STEMPLE, RYAN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:
Last Name:STEMPLE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3360 BIG FLAT RD OFC
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-9753
Mailing Address - Country:US
Mailing Address - Phone:406-370-3671
Mailing Address - Fax:
Practice Address - Street 1:3360 BIG FLAT RD OFC
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-9753
Practice Address - Country:US
Practice Address - Phone:406-370-3671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-LIC-29784225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist