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Individual

MR. ROBERT RYAN RESSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT, LAT, ATC, CSCS

Contact information

Practice address
1336 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4219
(936) 559-7163
(936) 569-7301
Mailing address
1336 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4219
(936) 559-7163
(936) 569-7301

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
1146689
TX
2255A2300X
Athletic Trainer
AT3163
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
169929002
TX
Enumeration date
07/18/2005
Last updated
02/17/2009
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