Ryan Willis, MS, ATC-L, CES
NPI #1063812592 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1063812592
- Entity Type
- Individual
- Name
- Ryan Willis, MS, ATC-L, CES
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC-L, CES
- Enumeration Date
- Sep 3, 2014
- Last Updated
- Sep 3, 2014
Practice Location
- Address
- 5670 W RED RIDGE LN
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84118-5004
- Phone
- (801) 865-1239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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