Individual
MR. RYAN DAVID LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1 UNIVERSITY DR, CAMPBELLSVILLE, KY 42718-2799
(860) 608-7942
Mailing address
414 PITMAN AVE, CAMPBELLSVILLE, KY 42718-1730
(860) 608-7942
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1879
KY
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
07/30/2019
Last updated
08/27/2021
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