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

Individual provider Athletic Trainer · NPI 1912432675

Ryan Tiscareno, BS is an Athletic Trainer in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

621 W Cherry Ave
Flagstaff, AZ 86001
Phone: (209) 614-5876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (AZ)

Record details

NPI number1912432675
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorNo
NPI enumeratedMay 1, 2017
Last updated in NPPESMay 1, 2017
Mailing address621 West Cherry Ave, Flagstaff, AZ 86001

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