Individual
RYAN KACVINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1008 LEIGHSFORD LN APT 12206, ARLINGTON, TX 76006-3808
(715) 292-1690
Mailing address
701 S NEDDERMAN DR, ARLINGTON, TX 76019-9800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
01/05/2018
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