Individual
RYAN ASHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, PMP
Contact information
Practice address
1500 LANGLEY AVE, SEYMOUR JOHNSON A F B, NC 27531-2554
(919) 722-0420
Mailing address
708 YOUNG FOREST DR, WAKE FOREST, NC 27587-9040
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001505
VA
Other
Enumeration date
02/15/2010
Last updated
02/24/2025
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