Individual
RYAN PEROCESCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
1705 PYLE DR, KINGSFORD, MI 49802-1143
(906) 774-2900
(906) 774-2902
Mailing address
1705 PYLE DR, KINGSFORD, MI 49802-1143
(906) 774-2900
(906) 774-2902
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001170
MI
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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