Individual
RYAN DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CES
Contact information
Practice address
2213 SUMMIT STREET, ATHLETIC TRAINING, KENT, OH 44242
(330) 672-2710
Mailing address
306 NORTHEAST AVE, APT. D201, TALLMADGE, OH 44278-1405
(810) 923-7515
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004677
OH
2255A2300X
Athletic Trainer
AT1077
KY
Other
Enumeration date
01/15/2014
Last updated
03/10/2017
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