MR. RYAN EDWARD VANDERVEST MS, LAT, CSCS - NPI 1285609941 - Specialist/Technologist in Green Bay, WI

Q: What is Ryan Vandervest's NPI number?

The NPI number for Ryan Vandervest is 1285609941. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Q: What is Ryan Vandervest's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Vandervest was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.

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About Mr. Ryan Edward Vandervest Ms, Lat, Cscs NPPES

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

MR. RYAN EDWARD VANDERVEST MS, LAT, CSCS (NPI 1285609941) is an individual athletic trainer provider in Green Bay, Wisconsin, licensed in Wisconsin (626-039) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1285609941

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. RYAN EDWARD VANDERVESTCredential: MS, LAT, CSCS

Location Address760 PILGRIM WAYGreen Bay, WI 54304-5263

Mailing Address2840 Char La Mar DrGreen Bay, WI 54311-6573 · (920) 496-4750

Phone(920) 496-4750

Sole ProprietorNo

Enumeration DateFebruary 17, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1285609941 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 WI · 626-039

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.

760 PILGRIM WAY, Green Bay, WI 54304

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