Ryan Barley
Individual provider Active NPI Athletic Trainer · Tipton, IN
NPI 1366416141 · NPPES record last updated Jun 8, 2012
Key facts
- NPI
- 1366416141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 120 N Main St
Tipton, IN 46072-1603 - Phone
- (765) 675-4119
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
120 N Main St
Tipton, IN 46072-1603
Mailing address
612 W Wharton Dr
Marion, IN 46952-1906
Other providers in Tipton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.