Individual
MR. ERNEST TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5105 DAKOTA AVE, NASHVILLE, TN 37209-3322
(615) 386-3680
Mailing address
5105 DAKOTA AVE, NASHVILLE, TN 37209-3322
(615) 386-3680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0000000406
TN
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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