Ryan David Henry, ATC
NPI #1902090020 in North Branch, Minnesota
Provider Information
- NPI Number
- 1902090020
- Entity Type
- Individual
- Name
- Ryan David Henry, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Aug 31, 2007
- Last Updated
- Dec 30, 2008
Practice Location
- Address
- 6241 MAIN ST
- Address 2
- SUITE 102
- City
- North Branch
- State
- Minnesota
- ZIP Code
- 55056-6597
- Phone
- (651) 674-2179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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