Individual
MR. RYAN ANTHONY TONUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, ATC, CSCS
Contact information
Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 852-7067
Mailing address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 852-7067
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007172
PA
2255A2300X
Athletic Trainer
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
09/22/2014
Last updated
06/12/2024
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