Individual
RYAN NOVATNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, LAT, ATC
Contact information
Practice address
1001 ROGERS ST, COLUMBIA, MO 65216-0001
(573) 875-7407
Mailing address
1001 ROGERS ST, COLUMBIA, MO 65216-0001
(573) 875-7407
(573) 875-7415
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2018019009
MO
Other
Enumeration date
08/01/2018
Last updated
07/31/2026
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