Individual
MR. MICHAEL LAWRENCE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
2053 ENCLAVE DRIVE, TRUSSVILLE, AL 35173
(205) 482-0329
(205) 640-2938
Mailing address
2053 ENCLAVE DRIVE, TRUSSVILLE, AL 35173
(205) 482-0329
(205) 640-2938
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AL
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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