Provider Demographics
NPI:1619723657
Name:MADDY RYAN BEAUTY ARTISTRY
Entity type:Organization
Organization Name:MADDY RYAN BEAUTY ARTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN-DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-982-4876
Mailing Address - Street 1:2154 CARTER AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7739
Mailing Address - Country:US
Mailing Address - Phone:407-982-4876
Mailing Address - Fax:
Practice Address - Street 1:2154 CARTER AVE STE D
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7739
Practice Address - Country:US
Practice Address - Phone:407-982-4876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty