NPI 1093146250

Jacob Ryan, MSATC

Practitioner Athletic Trainer Richmond, KY

Practice location

Address: 521 Lancaster Avenue 115 Alumni Coliseum, Richmond, KY 40475
Phone: (859) 622-8174

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT495 (KY)

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1093146250
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2013
Record last updated: 12 Dec 2013

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.