Individual
REBEKAH RYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 UNIVERSITY DR N, FARGO, ND 58105-2502
(605) 553-3221
Mailing address
26456 465TH AVE, HARTFORD, SD 57033-6924
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
686-15
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000021237
NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION NUMBER
—
01
—
686-15
NORTH DAKOTA STATE ATHLETIC TRAINER LICENSE
ND
Enumeration date
03/09/2017
Last updated
03/09/2017
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