Individual
RICK RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.,C
Contact information
Practice address
5000 FAIRLAWN AVE., INSTITUTE, WV 25112-1000
(304) 766-3225
(304) 766-3364
Mailing address
PO BOX 1000, INSTITUTE, WV 25112-1000
(304) 766-3225
(304) 766-3364
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001195
WV
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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