SearchWisconsinAthletic Trainer

Tyler Martin, MA, ATC, LAT

NPI 1043600919 · on the registry since 2015

Practice

Address
900 Wood Rd
Kenosha, WI 53144
Phone
(262) 595-2164
Fax
(262) 595-2225
Clinicians at this address
4

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin