Individual
RYAN MICHAEL GALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC, CSCS
Contact information
Practice address
510 W 49TH ST, INDIANAPOLIS, IN 46208-3480
(317) 940-9379
(317) 940-9967
Mailing address
510 W 49TH ST, INDIANAPOLIS, IN 46208-3480
(317) 940-9379
(317) 940-9967
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001191A
IN
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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