Individual
RYLIE K WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
580 N MIAMI ST, WABASH, IN 46992-1704
(765) 475-6094
Mailing address
5923 N 300 E, PERU, IN 46970-8797
(765) 475-6094
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002727A
IN
Other
Enumeration date
12/23/2017
Last updated
12/23/2017
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