Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN PEDERSON, ATC, LAT
Active Sole ProprietorRYAN PEDERSON, ATC, LAT is a Athletic Trainer healthcare provider located in CLERMONT, Florida. NPI 1568637742 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CLERMONT, FL
Registration Details
- NPI Number
- 1568637742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2008 (18.258434029191 yrs)
- Last Updated
- Apr 28, 2008
- License
-
AL 1539 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13322 EXCALIBUR RDCLERMONT, FL, 347116695Browse FL providers · Browse ZIP 34711
- Phone
- 3522422080
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CLERMONT, FL
| Name | Credential | NPI |
|---|---|---|
| BRIAN NEU | MS, ATC, LAT | 1366417263 |
| MR. BRADFORD C SKIFF | M.S., A.T.C. | 1790822666 |
| THEODORE HENRY ARZONICO | MED, ATC, LAT | 1396886818 |
| MS. KRISTINA LYNN CREININ | ATC, LAT, CES | 1922384361 |
| CORYN NOVAK | ATC, LAT | 1306255633 |
| SEAN STEVEN ENNIS | MS,LAT, ATC | 1740708544 |
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.