MR. Ryan Joseph Carroll, MAED, LAT, ATC, OTC
NPI #1740366657 in Logansport, Indiana
Provider Information
- NPI Number
- 1740366657
- Entity Type
- Individual
- Name
- MR. Ryan Joseph Carroll, MAED, LAT, ATC, OTC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MAED, LAT, ATC, OTC
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Oct 27, 2022
Practice Location
- Address
- 1201 MICHIGAN AVE STE 140
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-1530
- Phone
- (574) 722-3338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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