Individual
JENNIFER L RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., A.T.C.
Contact information
Practice address
17 EXCHANGE ST W, SUITE 307, SAINT PAUL, MN 55102-1045
(651) 842-5200
Mailing address
502 RIVER ST, HASTINGS, MN 55033-1734
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1844
MN
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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