Individual
CHRISTOPHER RYAN EBBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, PES
Contact information
Practice address
700 ARGOSY PKWY, RIVERSIDE, MO 64150-1512
(816) 505-4408
(816) 241-0551
Mailing address
10219 N LAWN AVE, KANSAS CITY, MO 64156-3005
(816) 668-2151
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2004023137
MO
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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