Individual
RYAN WEISENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
580 S GUARDSMAN WAY, SALT LAKE CITY, UT 84108
(801) 587-9713
Mailing address
333 E 6TH AVE # 1, SALT LAKE CITY, UT 84103-2729
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9841756-4810
UT
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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