Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLLER ROBERT
Active Sole ProprietorTYLLER ROBERT is a Athletic Trainer healthcare provider located in MAPLEWOOD, Minnesota. NPI 1891282059 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MAPLEWOOD, MN
Registration Details
- NPI Number
- 1891282059
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2018 (8.3147479220555 yrs)
- Last Updated
- Apr 13, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
2594 MONTANA AVE EMAPLEWOOD, MN, 55119Browse MN providers · Browse ZIP 55119
- Phone
- 6512609259
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MAPLEWOOD, MN
| Name | Credential | NPI |
|---|---|---|
| RONDA ELLEVOLD | ATC | 1376812040 |
| KALLI ANN JOHNSON | ATC | 1235672023 |
| CURTIS W SCHULTZ | — | 1881214971 |
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.