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

MR. BILLY TYLER EDWARDS JR., ATC

Active Sole Proprietor

MR. BILLY TYLER EDWARDS JR., ATC is a Athletic Trainer healthcare provider located in BOWLING GREEN, Kentucky. NPI 1861422255 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BOWLING GREEN, KY

Registration Details

NPI Number
1861422255
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2006 (20.074210210965 yrs)
Last Updated
Jul 8, 2007
License
AT016 (KY)
Sole Proprietor
Yes

Practice Information

Address
1605 AVENUE OF CHAMPIONS
BOWLING GREEN, KY, 421016412
Browse KY providers · Browse ZIP 42101
Phone
2707456026
Fax
2707455333
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BOWLING GREEN, KY

Name Credential NPI
DUSTIN RAY WILSON MS ATC CSCS 1699817791
MICHEAL RAY GADDIE M.S., A.T.,C 1275664153
MR. WILLIAM JEREMY STEAKLEY ATC 1548480833
MS. SARAH LEIGH RICHMAN M.S., ATC 1902018914
MRS. PAULA UPRIGHT ATC 1023221884
BRYAN SCHNEIDER ATC 1902262884
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.