Individual
RYAN SHOCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 UNIVERSITY AVE, ANGOLA, IN 46703-1764
(260) 665-4846
Mailing address
702 S MARTHA ST, APT. 4, ANGOLA, IN 46703-2174
(260) 437-2638
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001357A
IN
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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