Individual
TYLER GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
3201 W LOOP 289, APT 127, LUBBOCK, TX 79407
(972) 825-6255
Mailing address
1304 LOUISE LN, ENNIS, TX 75119-7691
(972) 825-6255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
05/22/2018
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