Provider Demographics
NPI:1821033614
Name:KEBLER, RYAN N (ATC/L, LMT)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:N
Last Name:KEBLER
Suffix:
Gender:M
Credentials:ATC/L, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:13876 BARBADOS DR
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-1322
Mailing Address - Country:US
Mailing Address - Phone:727-344-4065
Mailing Address - Fax:
Practice Address - Street 1:6333 9TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-6212
Practice Address - Country:US
Practice Address - Phone:727-344-4065
Practice Address - Fax:727-343-9311
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer