Individual
JACOB TIMOTHY RYTLEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 N UNIVERSITY ST, WEST LAFAYETTE, IN 47907-2070
(765) 494-3245
Mailing address
900 N UNIVERSITY ST, WEST LAFAYETTE, IN 47907-2070
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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