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

MR. RYAN NEAL WILLIS, M.A.T., ATC

Active

MR. RYAN NEAL WILLIS, M.A.T., ATC is a Athletic Trainer healthcare provider located in BLUE SPRINGS, Mississippi. NPI 1972868016 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BLUE SPRINGS, MS

Registration Details

NPI Number
1972868016
Provider Type
Individual
Gender
Male
NPI Issued
Jul 4, 2012 (13.933735454674 yrs)
Last Updated
Jul 4, 2012
License
1058 (AL)

Practice Information

Address
1200 MAGNOLIA WAY
PROGRESSIVE HEALTH (ESI)
BLUE SPRINGS, MS, 388286000
Browse MS providers · Browse ZIP 38828
Phone
6623173229
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BLUE SPRINGS, MS

Name Credential NPI
MR. BENJAMIN DREW DAVIS ATC 1518460740
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.