Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Peroceschi, AT, ATC

Individual provider Athletic Trainer · NPI 1649046947

Ryan Peroceschi, AT, ATC is an Athletic Trainer in Kingsford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

1705 Pyle Dr
Kingsford, MI 49802-1143
Phone: (906) 774-2900
Fax: (906) 774-2902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601001170 (MI)

Record details

NPI number1649046947
Entity typeIndividual (Type 1)
GenderMale
Credentials AT , ATC
Sole proprietorYes
NPI enumeratedNovember 28, 2023
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023
Mailing address1705 Pyle Dr, Kingsford, MI 49802-1143

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