Individual
COLE RYAN WERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 E 7TH ST, BLOOMINGTON, IN 47405-7109
(812) 855-1561
Mailing address
1025 E 7TH ST, BLOOMINGTON, IN 47405-7109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4007-2547
EMERGENCY MEDICAL TECHNICIAN
IN
Enumeration date
06/10/2026
Last updated
06/10/2026
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