Individual
MR. MICHAEL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2002 CRIPPLECREEK DR, LADSON, SC 29456-3072
(843) 832-8795
(843) 820-4044
Mailing address
2002 CRIPPLECREEK DR, LADSON, SC 29456-3072
(843) 832-8795
(843) 820-4044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
328
SC
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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