RYAN T DAVIS

NORMAL, IL
NPI1841437647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096002688)
Enumeration Date2009-01-15
Last Update Date2015-06-18
Business Address
-- RYAN T DAVIS MS, ATC
103 E LINCOLN ST UNIT G
NORMAL, IL 61761-1442
Phone number: 217-620-3890
Mailing Address
-- RYAN T DAVIS MS, ATC
103 E LINCOLN ST UNIT G
NORMAL, IL 61761-1442
Phone number: 217-620-3890
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