Ryan Christopher Jolly, ATC, EMT-B
NPI #1962916395 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1962916395
- Entity Type
- Individual
- Name
- Ryan Christopher Jolly, ATC, EMT-B
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Emergency Medical Technician, Basic
- Credential
- ATC, EMT-B
- Enumeration Date
- Nov 21, 2017
- Last Updated
- Nov 21, 2017
Practice Location
- Address
- N1457 HILLSIDE RD
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-4235
- Phone
- (262) 248-4103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Emergency Medical Technician, Basic |
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