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RYAN WILLIS MS, ATC-L, CES
NPI 1063812592
Specialist/Technologist - Athletic Trainer in Salt Lake City, UT

Active since September 03, 2014
5670 W RED RIDGE LN, SALT LAKE CITY, UT 84118(801) 865-1239 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ryan Willis Ms, Atc-l, Ces NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN WILLIS MS, ATC-L, CES (NPI 1063812592) is an individual athletic trainer provider in Salt Lake City, Utah, licensed in Utah (7913172-4810) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1063812592
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameRYAN WILLISCredential: MS, ATC-L, CES
Location Address5670 W RED RIDGE LNSalt Lake City, UT 84118-5004
Mailing Address5670 W Red Ridge LnSalt Lake City, UT 84118-5004 · (801) 865-1239
Phone(801) 865-1239
Sole ProprietorYes
Enumeration DateSeptember 3, 2014
✔ NPI 1063812592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in UT · 7913172-4810
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
5670 W RED RIDGE LN, Salt Lake City, UT 84118
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Willis's NPI number?

The NPI number for Ryan Willis is 1063812592. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Where is Ryan Willis located?

Ryan Willis practices at 5670 W Red Ridge Ln, Salt Lake City, UT 84118. The listed phone number is (801) 865-1239.

What is Ryan Willis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Ryan Willis was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.