Individual
MR. RYAN CHARLES MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, PES
Contact information
Practice address
4541 S DALE MABRY HWY, TAMPA, FL 33611-1407
(813) 684-2663
(908) 685-2413
Mailing address
401 N ROME AVE APT 4406, TAMPA, FL 33606-0053
(609) 575-2019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00125500
NJ
2255A2300X
Athletic Trainer
Primary
AL4785
FL
Other
Enumeration date
11/04/2009
Last updated
07/21/2022
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