Individual
ALEXANDER LIAM TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
10004 204TH AVE E STE 3100, BONNEY LAKE, WA 98391-6540
(253) 863-7510
Mailing address
1282 3RD ST SPC 96, LAFAYETTE, OR 97127-9609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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