Individual
TANNER RYAN HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
10700 STAPLES MILL RD, GLEN ALLEN, VA 23060-2403
(276) 970-5959
Mailing address
302 THOMPSON ST, ASHLAND, VA 23005-1427
(276) 970-5959
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002218
VA
Other
Enumeration date
04/06/2017
Last updated
04/08/2017
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