Individual
RYAN MICHAEL EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
978 SOMERSET CT, CHARLOTTESVILLE, VA 22901-1755
(717) 658-3604
Mailing address
978 SOMERSET CT, CHARLOTTESVILLE, VA 22901-1755
(717) 658-3604
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002425
VA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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