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Ryan Jolly, ATC, EMT-B
NPI 1962916395 · on the registry since 2017 · sole proprietor
Practice
- Address
- N1457 Hillside Rd
Lake Geneva, WI 53147 - Phone
- (262) 248-4103
- Organisation at this address
- Town Of Linn
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Basic Emergency Medical Technician
146N00000X
- Also registered as
- Athletic Trainer
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-11-21
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