Individual
RYAN LEIBREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC,CSCS, USAW-1
Contact information
Practice address
712 HANOVER MNR, APARTMENT F- 108, CARLISLE, PA 17013-2035
(937) 403-8312
Mailing address
712 HANOVER MNR, APARTMENT F- 108, CARLISLE, PA 17013-2035
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005116
PA
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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