Individual
RYAN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4901 E UNIVERSITY, GYM 111, ODESSA, TX 79762
(609) 760-7009
Mailing address
4901 E UNIVERSITY, GYM 111, ODESSA, TX 79762
(609) 760-7009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7287
TX
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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