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Individual

MR. TYLER E BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LAT, ATC

Contact information

Practice address
2601 FORTUNE CIR E STE 105B, INDIANAPOLIS, IN 46241-5523
(317) 412-2313
Mailing address
119 FAIRFIELD DR, SHELBYVILLE, IN 46176-2701

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000001817
IN

Other

Enumeration date
07/06/2021
Last updated
07/06/2021
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