Individual
RYLEE BLACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(970) 248-1356
Mailing address
1625 N 18TH ST, GRAND JUNCTION, CO 81501-6603
(801) 850-7456
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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