Individual
TYLER STOLTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACT/LAT
Contact information
Practice address
19550 E 39TH ST S STE 230, INDEPENDENCE, MO 64057-2309
(816) 795-8200
(816) 795-7735
Mailing address
19550 E 39TH ST S STE 230, INDEPENDENCE, MO 64057-2309
(816) 795-8200
(816) 795-7735
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013028788
MO
Other
Enumeration date
07/21/2015
Last updated
11/09/2015
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