MR. THOMAS GERARD RYAN LICAC NPI 1417355769

NPI Information

NPI: 1417355769
Provider Name: MR. THOMAS GERARD RYAN, LICAC
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
455 BOSTON POST RD
SUITE 203A
OLD SAYBROOK, CT
ZIP 06475
Phone: (860) 395-1119
Get Directions

MR. Thomas Gerard Ryan, LICAC is an acupuncturist in Old Saybrook, CT. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. MR. Thomas Gerard Ryan, LICAC NPI is 1417355769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

455 BOSTON POST RD
SUITE 203A
OLD SAYBROOK, CT
ZIP 06475-516
Phone: (860) 395-1119

The enumeration date for this NPI number is 12/18/2014 and was last updated on 12/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		000001	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1013019462	OTHER	CONNECTICUT	VA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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