Individual
TYLER COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 S 2ND ST, BOONVILLE, IN 47601-2125
(812) 568-7965
Mailing address
1309 S 2ND ST, BOONVILLE, IN 47601-2125
(812) 568-7965
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/22/2024
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