Ryan Koeberl, ATC LAT

NPI #1548659295 in Plymouth, Wisconsin

Provider Information

NPI Number
1548659295
Entity Type
Individual
Name
Ryan Koeberl, ATC LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC LAT
Enumeration Date
Jan 19, 2015
Last Updated
Jan 19, 2015

Practice Location

Address
W3718 SOUTH DR
ZIP Code
53073-4878
Phone
(920) 565-1024

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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