Ryan James Dale
Specialist/Technologist, Athletic Trainer in Saint Louis, MO. Individual provider (NPI-1).
NPI number1982106142
StatusActive
Last updated in NPPESMar 5, 2018
Details
- NPI
- 1982106142
- Entity type
- Individual (NPI-1)
- Name
- Ryan James Dale
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2018
- Last updated
- Mar 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
10180 Clairmont DrSaint Louis, MO 63136-3170
Phone 213-422-8337
Mailing address
10180 Clairmont DrSaint Louis, MO 63136-3170
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