Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GREG MYTYK, AT
ActiveMR. GREG MYTYK, AT is a Sports Medicine (PM&R) healthcare provider located in KNOXVILLE, Tennessee. NPI 1043996473 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · KNOXVILLE, TN
Registration Details
- NPI Number
- 1043996473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2023 (2.9567144907397 yrs)
- Last Updated
- Jun 22, 2023
- License
-
000001670 (TN)
Practice Information
- Address
-
1551 LAKE LOUDON BLVDKNOXVILLE, TN, 379164009Browse TN providers · Browse ZIP 37916
- Phone
- 8652103030
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in KNOXVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MS. SKYLER SHANELLE O'DELL | LMT | 1124598677 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.