Individual
RYAN RODEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3500 BELLAIRE DR N, FORT WORTH, TX 76129-0001
(817) 600-3041
Mailing address
3500 BELLAIRE DR N, FORT WORTH, TX 76129-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6955
TX
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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