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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TYLER WRIGHT LANDGRAF, MSED, ATC

Active

MR. TYLER WRIGHT LANDGRAF, MSED, ATC is a Sports Medicine (PM&R) healthcare provider located in SPRINGFIELD, Missouri. NPI 1639399611 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · SPRINGFIELD, MO

Registration Details

NPI Number
1639399611
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2007 (19.14367467348 yrs)
Last Updated
May 20, 2010
License
2009009431 (MO)

Practice Information

Address
901 S NATIONAL AVE
FORSYTHE RM 109
SPRINGFIELD, MO, 658970027
Browse MO providers · Browse ZIP 65897
Phone
4175768009
Primary Specialty
Sports Medicine (PM&R)
2081S0010X

Other Sports Medicine (PM&R) Providers in SPRINGFIELD, MO

Name Credential NPI
MR. ZACHARY C ROBERTS ATC, CSCS 1760627327
CONNOR PARRISH 1487134722
LOGAN PRESCOTT 1073168399
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.