Individual
RYAN THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1324 LOVERS LN, MANHATTAN, KS 66506-2136
(785) 532-0158
Mailing address
1324 LOVERS LN, MANHATTAN, KS 66506-2136
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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