Individual
RYAN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
1243 HYLAND DR, EVERGREEN, CO 80439-4838
(678) 982-3721
Mailing address
1243 HYLAND DR, EVERGREEN, CO 80439-4838
(678) 982-3721
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002409
CO
Other
Enumeration date
09/08/2016
Last updated
12/07/2022
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