Individual
ASHE RYAN SPERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 W MAIN ST APT 384, MISSOULA, MT 59802-4325
(406) 839-0654
Mailing address
147 W MAIN ST APT 384, MISSOULA, MT 59802-4325
(406) 839-0654
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
MT
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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