Individual
RYAN CACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
95 E BEETDIGGER BLVD, SANDY, UT 84070-3633
(858) 333-2975
Mailing address
10975 PARKDALE AVE, SAN DIEGO, CA 92126-2039
(858) 333-2975
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10779214-4810
UT
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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