MR. RYAN DAVID LEE LAT, ATC
NPI 1093369852
Specialist/Technologist - Athletic Trainer in Campbellsville, KY

NPI Status: Active since July 30, 2019

Contact Information

1 UNIVERSITY DR
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (860) 608-7942

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About RYAN LEE

This page provides the complete NPI Profile along with additional information for Ryan Lee, a provider established in Campbellsville, Kentucky with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1093369852 assigned on July 2019. The practitioner's primary taxonomy code is 2255A2300X with license number AT1879 (KY). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1093369852
Provider Name
MR. RYAN DAVID LEE LAT, ATC
Gender
Male
Entity Type
Individual
Location Address
1 UNIVERSITY DR CAMPBELLSVILLE, KY 42718
Location Phone
(860) 608-7942
Mailing Address
414 PITMAN AVE CAMPBELLSVILLE, KY 42718
Mailing Phone
(860) 608-7942
Is Sole Proprietor?
Yes
Enumeration Date
07-30-2019
Last Update Date
08-27-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
AT1879
License State
KY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist
Athletic Trainer

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093369852
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201836618810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 6 + 6 + 1 + 8 + 8 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1093369852 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205068335 TRACY LEE LOTT MS, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY DR UPO 823
CAMPBELLSVILLE, KY 42718
(270) 789-5172
1649543240 JEANETTA FORD MS, LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY DR UPO 823
CAMPBELLSVILLE, KY 42718
(270) 789-5333
1487004636MR. DEREK PORT ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY DR UPO #823
CAMPBELLSVILLE, KY 42718
(270) 789-5544
1902445315 LYNDSIE SHORT ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY DR
CAMPBELLSVILLE, KY 42718
(270) 789-5333
1528580446 ELLY WRIGHT MAT, LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY DR
CAMPBELLSVILLE, KY 42718
(970) 556-4281
1013599976MS. KERI MICHELLE COOTS MS, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY DR
CAMPBELLSVILLE, KY 42718
(270) 789-5468
1356837470 JUSTIN MICHAEL RAMOS MS, LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY DR
CAMPBELLSVILLE, KY 42718
(270) 789-5334

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093369852, enumerated in the NPI registry as an "individual" on July 30, 2019

The provider is located at 1 University Dr Campbellsville, Ky 42718 and the phone number is (860) 608-7942

The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer

This NPI record was last updated on July 30, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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