Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAVIN TYLER TANIS, MS, LAT, ATC
ActiveGAVIN TYLER TANIS, MS, LAT, ATC is a Athletic Trainer healthcare provider located in LEWISTON, Maine. NPI 1205660263 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LEWISTON, ME
Registration Details
- NPI Number
- 1205660263
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2024 (1.9140260282359 yrs)
- Last Updated
- Aug 30, 2024
- License
-
AT970 (ME)
Practice Information
- Address
-
141 RUSSELL STLEWISTON, ME, 042406024Browse ME providers · Browse ZIP 04240
- Phone
- 2077866255
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LEWISTON, ME
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS STEPHEN BOURDON | ATC | 1023002243 |
| MS. JENNIFER DIANE COLLINS | ATC | 1770548018 |
| MR. MICHAEL NORMAND VERVILLE | ATC | 1912962952 |
| MR. DENNIS MICHEAL RUSSELL | ATC, NRP | 1548323090 |
| KATELYN DEZENZO | ATC | 1588095947 |
| STEPHANIE TOWNSEND | ATC | 1336570670 |
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.