Individual
RYAN KUPETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
432 RAILROAD ST, LOCK HAVEN, PA 17745-1135
(484) 752-2491
Mailing address
439 KENNEDY RD, COLLEGEVILLE, PA 19426-1780
(484) 752-2491
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/20/2021
Last updated
08/28/2021
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