Ishmael Ryan, ATC

Athletic Trainer · Babson Park, FL

Individual Active NPI

NPI number 1740756030

Practice location

1201 N Scenic Hwy
Babson Park, FL 33827-9751
Phone
(904) 477-2059

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NPI record

NPI
1740756030
Entity type
Individual (Type 1)
Enumeration date
October 15, 2018
Last updated
October 15, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AL5097 FL

Mailing address

1320 Eagles Claw Ct
Jacksonville, FL 32225-0816
Phone
(904) 477-2059

About Ishmael Ryan

Ishmael Ryan, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1201 N Scenic Hwy, Babson Park, FL 33827-9751. The NPI number 1740756030 was assigned on October 15, 2018 and the record was last updated on October 15, 2018.

Ishmael Ryan lists a license in the registry: #AL5097 (FL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ishmael Ryan, ATC?

The NPI number is 1740756030.

What is the phone number of Ishmael Ryan?

The phone number listed for the practice location is (904) 477-2059.

Where is Ishmael Ryan located?

1201 N Scenic Hwy, Babson Park, FL 33827-9751.

What is the taxonomy code for Ishmael Ryan?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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