Individual
RYAN WILLIAM NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, ATC, CSCS
Contact information
Practice address
2629 E ROSE GARDEN LN, PHOENIX, AZ 85050-4605
(602) 734-5800
Mailing address
2629 E ROSE GARDEN LN, PHOENIX, AZ 85050-4605
(602) 734-5800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1451
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070802004
BOC
—
01
—
7247829113
NSCA CSCS
—
Enumeration date
12/16/2015
Last updated
01/11/2016
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