Individual
TYLER ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844
(888) 884-3246
Mailing address
209 W TAYLOR AVE APT 20, MOSCOW, ID 83843-4419
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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