Individual
SARA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3257 STONECREEK DR APT 212, MADISON, WI 53719-5604
(877) 732-2262
Mailing address
3257 STONECREEK DR APT 212, MADISON, WI 53719-5604
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1656-39
WI
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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