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Individual
MR. JOHN TYLER FLATT
Active
Individual
MR. JOHN TYLER FLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., A.T.C.
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1805
MN
2255A2300X
Athletic Trainer
279-04/06
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020402094
NATABOC CERTIFICATION #
—
01
—
1805
ATR REGISTRATION #
MN
01
—
279-04/06
ATC LICENSURE #
ND
Enumeration date
09/06/2006
Last updated
08/07/2014
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