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

TYLER BEAUCHAMP, PTA, ATC

Active

TYLER BEAUCHAMP, PTA, ATC is a Athletic Trainer healthcare provider located in DAVENPORT, Iowa. NPI 1700485505 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · DAVENPORT, IA

Registration Details

NPI Number
1700485505
Provider Type
Individual
Gender
Male
NPI Issued
Oct 22, 2020 (5.7903783211443 yrs)
Last Updated
Oct 22, 2020
Licenses
105325 (IA)
080342 (IA)

Practice Information

Address
6101 NORTHWEST BLVD
DAVENPORT, IA, 528061861
Browse IA providers · Browse ZIP 52806
Phone
5634497004
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in DAVENPORT, IA

Name Credential NPI
MR. JASON RANDALL VIEL MS, LAT, ATC 1851369656
DEAN J BEAUCHAMP ATC 1205872652
MR. STEPHEN EDWARD KNOCHE ATC 1538196159
MR. JOHNNIE EUGENE JAMES MS, LAT, ATC 1538218649
MR. TIMOTHY MICHAEL BLOCK ATC, PTA 1265640353
MS. HARUYO IZUMI A.T.C. 1346423605
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.