Individual
RYAN BRACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
650 BIGGIO DR, AUBURN, AL 36849-1629
(630) 890-2705
Mailing address
626 SHUG JORDAN PKWY APT 212, AUBURN, AL 36832-4329
(630) 890-2705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2016
Last updated
02/19/2019
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