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RYAN RICHARD ERICKSON ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1083084933

Individual Registrant:
 RYAN RICHARD ERICKSON ATC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
523 S 2ND ST  CARBONDALE, CO 81623-2113 US
Tel: 406-544-4192  Fax: --

Contact information for business:
523 S 2ND ST  CARBONDALE, CO 81623-2113 US
Tel: 406-544-4192  Fax: --

Registration Information:
NPI: 1083084933
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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