NPI 1528831765

Ryan Austin Michaelis, LATCAT

Practitioner Athletic Trainer Collierville, TN

Practice location

Address: 99 Market Center Dr, Collierville, TN 38017-6913
Phone: (901) 861-9610
Mailing address: 1862 Swynford Ln, Collierville, TN 38017-8874

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 3111 (TN)

Other Specialist/Technologist providers in Tennessee →

Registry record

NPI: 1528831765
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2023
Record last updated: 31 Oct 2023

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.