NPI 1013536127

Sydney Nichole Ranzau

Practitioner Athletic Trainer Fort Wayne, IN

Practice location

Address: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701
Phone: (260) 266-1000
Mailing address: T360 County Road 20b, Archbold, OH 43502-9530

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT006575 (OH)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013536127
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2020
Record last updated: 5 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.