Individual
RYAN TIMOTHY UTTERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6938 LITTLETON DR, INDIANAPOLIS, IN 46221-4838
(317) 473-1613
Mailing address
6938 LITTLETON DR, INDIANAPOLIS, IN 46221-4838
(317) 473-1613
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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