Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Christopher Jolly, ATC, EMT-B

Individual provider Athletic Trainer · NPI 1962916395

Ryan Christopher Jolly, ATC, EMT-B is an Athletic Trainer in Lake Geneva, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

N1457 Hillside Rd
Lake Geneva, WI 53147-4235
Phone: (262) 248-4103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Basic Emergency Medical Technician (primary) Taxonomy 146N00000X · Licence 70108769 (WI)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1962916395
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , EMT-B
Sole proprietorYes
NPI enumeratedNovember 21, 2017
Last updated in NPPESNovember 21, 2017

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