BRENT ROGERS RYAN

COOKEVILLE, TN
NPI1801858998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  500)
Enumeration Date2006-04-04
Last Update Date2007-07-08
Business Address
Mr. BRENT ROGERS RYAN ATC/L
2335 N WASHINGTON AVE
COOKEVILLE, TN 38501-4889
Phone number: 931-520-2287
Mailing Address
Mr. BRENT ROGERS RYAN ATC/L
5125 HICKORY VALLEY RD
SPARTA, TN 38583-3773
Phone number: 931-738-8760
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