MR. Ryan Lee Schallenberg, PT, ATC

NPI #1962463653 in Springfield, Illinois

Provider Information

NPI Number: 1962463653
Entity Type: Individual
Name: MR. Ryan Lee Schallenberg, PT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, ATC
Enumeration Date: Mar 31, 2006
Last Updated: Feb 2, 2021

Practice Location

Address: 3020 S 6TH ST
City: Springfield
State: Illinois
ZIP Code: 62703-5915
Phone: (217) 528-7541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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