Individual
RYAN THREATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAED, BCHC
Contact information
Practice address
185 REDSTONE WAY, BIRMINGHAM, AL 35215-7153
(205) 837-9092
Mailing address
185 REDSTONE WAY, BIRMINGHAM, AL 35215-7153
(205) 837-9092
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
BO1019731
AL
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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