RYAN GERAGHTY

FORT WAYNE, IN
NPI1831593292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002260A)
Enumeration Date2014-10-14
Last Update Date2016-03-02
Business Address
-- RYAN GERAGHTY ATC, LAT
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 574-261-7517
Mailing Address
-- RYAN GERAGHTY ATC, LAT
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 574-261-7517
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