Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN NOVATNY, MED, LAT, ATC
Deactivated Sole ProprietorRYAN NOVATNY, MED, LAT, ATC is a Athletic Trainer healthcare provider located in FULTON, Missouri. NPI 1639657794 is deactivated in the NPPES registry. Verify at CMS.
Athletic Trainer · FULTON, MO
This NPI has been deactivated.
The record was deactivated on June 17, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639657794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2018 (1.8770491803279 yrs)
- Last Updated
- Nov 4, 2020
- Deactivated
- Jun 17, 2020
- License
-
2018019009 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 WESTMINSTER AVEFULTON, MO, 652511299Browse MO providers · Browse ZIP 65251
- Phone
- 5735925623
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FULTON, MO
| Name | Credential | NPI |
|---|---|---|
| MS. AMBER RENAE DODSON | MED, ATC | 1356562326 |
| MRS. PAULA JEAN JENNINGS | ATC, LAT | 1235350737 |
| MRS. AMY E HAINES | ATCL | 1801074984 |
| MR. JOSHUA STEPHEN THOMPSON | ATC/LAT | 1891948279 |
| MICHAEL K MCELHINNEY | — | 1033354196 |
| ARIANNA ROJAS SERPA | MS, ATC, LAT | 1932447398 |
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.