Individual
MR. RYAN T LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CAFS
Contact information
Practice address
3400 S 103RD ST STE 300, MILWAUKEE, WI 53227-4163
(262) 366-3655
Mailing address
372 PARK HILL DR UNIT C, PEWAUKEE, WI 53072-6005
(262) 385-8905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1141-39
WI
Other
Enumeration date
02/25/2011
Last updated
11/11/2016
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