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Tyler Landgraf, MSED, ATC
NPI 1639399611 · on the registry since 2007
Practice
- Address
- 901 S National Ave
Forsythe Rm 109
Springfield, MO 65897 - Phone
- (417) 576-8009
- Organisation at this address
- Missouri State University Athletic Training Servicesis
Missouri State University Athletic Medical And Rehabilitation ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 103
Registry record
- Primary taxonomy
- 2081S0010X
2081S0010X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-20
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 Missouri