Search › Wisconsin › 2255A2300X
Ryan Koeberl, ATC LAT
NPI 1548659295 · on the registry since 2015 · sole proprietor
Practice
- Address
- W3718 South Dr
Plymouth, WI 53073 - Phone
- (920) 565-1024
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin