Individual
RYAN SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6134 U S HIGHWAY 98, HATTIESBURG, MS 39402-8530
(601) 336-7155
(601) 336-7782
Mailing address
2416 HIGHWAY 45 N, COLUMBUS, MS 39705-1320
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATC0623
MS
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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