Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER GARDINER, ATC
Active Sole ProprietorTYLER GARDINER, ATC is a Athletic Trainer healthcare provider located in SOUTH PORTLAND, Maine. NPI 1063035616 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SOUTH PORTLAND, ME
Registration Details
- NPI Number
- 1063035616
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2020 (6.2147443651174 yrs)
- Last Updated
- Jun 23, 2022
- License
-
AT881 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
119 GANNETT DRSOUTH PORTLAND, ME, 041066942Browse ME providers · Browse ZIP 04106
- Phone
- 2077730040
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SOUTH PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| RYAN A LUCAS | A.T.C. | 1144218389 |
| KATHRYN MCCARTHY | ATC, CMA, RMA | 1992764385 |
| NEIL K CARROLL | ATC | 1871534180 |
| SARAH E DALY | ATC | 1912949108 |
| MR. JASON DUANE ASDOURIAN | ATC | 1356355267 |
| BETH THOMPSON | MS, LATC | 1871828616 |
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.