Individual
RYAN DOMINIC TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
16101 64TH ST E, SUMNER, WA 98390-3069
(253) 750-0453
Mailing address
1508 LAWRENCE AVE, SUMNER, WA 98390-2145
(253) 750-0453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
61201405
WA
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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