Individual
MR. RICKY KEITH MORANT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
21 E STATE ST FL 2, COLUMBUS, OH 43215-4210
(614) 366-3600
(614) 366-3601
Mailing address
5597 YORK COUNTY RD, COLUMBUS, OH 43221-5545
(614) 893-2221
(614) 366-3601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 002665
OH
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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