Ryan Willis, M.A.T., ATC

NPI 1972868016 · on the registry since 2012

Practice

Address: 1200 Magnolia Way
Progressive Health (Esi)
Blue Springs, MS 38828
Phone: (662) 317-3229
Organisation at this address: Wal-Mart Stores East, Lp
Premise Health Of Mississippi Medical Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-07-04

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 Mississippi