Individual
RYANNE PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
900 N JOHN R WOODEN DR, MACKEY ARENA, WEST LAFAYETTE, IN 47907-2117
(765) 494-3245
Mailing address
900 N JOHN R WOODEN DR, MACKEY ARENA, WEST LAFAYETTE, IN 47907-2117
(765) 494-3245
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002608A.
IN
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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