Individual
MR. TYLER SCOTT DEUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, ATC, LAT, CSCS
Contact information
Practice address
43 PARADISE LN, MADISON, IN 47250-8801
(812) 599-0942
Mailing address
43 PARADISE LN, MADISON, IN 47250-8801
(812) 599-0942
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001333A
IN
Other
Enumeration date
07/06/2011
Last updated
08/26/2014
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