Provider Demographics
NPI:1083824676
Name:MORANT, RICKY KEITH JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:RICKY
Middle Name:KEITH
Last Name:MORANT
Suffix:JR
Gender:M
Credentials:ATC
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Mailing Address - Street 1:5597 YORK COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-5545
Mailing Address - Country:US
Mailing Address - Phone:614-893-2221
Mailing Address - Fax:614-366-3601
Practice Address - Street 1:21 E STATE ST FL 2
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4210
Practice Address - Country:US
Practice Address - Phone:614-366-3600
Practice Address - Fax:614-366-3601
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAT 0026652255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer