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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RYAN KOEBERL, ATC LAT

Active Sole Proprietor

RYAN KOEBERL, ATC LAT is a Athletic Trainer healthcare provider located in PLYMOUTH, Wisconsin. NPI 1548659295 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PLYMOUTH, WI

Registration Details

NPI Number
1548659295
Provider Type
Individual
Gender
Male
NPI Issued
Jan 19, 2015 (11.533252425571 yrs)
Last Updated
Jan 19, 2015
License
1515-39 (WI)
Sole Proprietor
Yes

Practice Information

Address
W3718 SOUTH DR
PLYMOUTH, WI, 530734878
Browse WI providers · Browse ZIP 53073
Phone
9205651024
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PLYMOUTH, WI

Name Credential NPI
DR. DAI SUGIMOTO ATC 1588843007
MR. GARTH F LASZINSKI M.ED., ATC 1346544467
DONA ANN RICHARDSON ATC 1306274766
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.