Individual
RYAN GREBNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
798 E CRUGER RD, WASHINGTON, IL 61571-9604
(309) 635-7393
Mailing address
798 E CRUGER RD, WASHINGTON, IL 61571-9604
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2015
Last updated
05/25/2016
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