Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER ANTHONY BADER
Active Sole ProprietorTYLER ANTHONY BADER is a Sports Medicine (PM&R) healthcare provider located in KETTERING, Ohio. NPI 1922655174 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · KETTERING, OH
Registration Details
- NPI Number
- 1922655174
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2019 (6.9483138703416 yrs)
- Last Updated
- Aug 22, 2019
- License
-
AT005827 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4403 FAR HILLS AVEKETTERING, OH, 454292405Browse OH providers · Browse ZIP 45429
- Phone
- 9373953900
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.