Individual
RYAN MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
277 SPORTS CENTER DRIVE, LEXINGTON, KY 40502
(570) 394-3754
Mailing address
923 RIVERSIDE BLVD, NESCOPECK, PA 18635-1203
(570) 394-3754
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/06/2017
Last updated
05/29/2019
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