Individual
RYAN WOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CES
Contact information
Practice address
3200 S WATER ST, PITTSBURGH, PA 15203
(412) 365-2946
Mailing address
0 WOODLAND RD, PITTSBURGH, PA 15232-2899
(412) 365-2946
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005910
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000017970
BOARD OF CERTIFICATION
—
01
—
RT005910
COMMONWEALTH OF PENNSYLVANIA ATHLETIC TRAINERS LICENSE
PA
Enumeration date
12/05/2014
Last updated
04/09/2019
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