Individual
TYLER BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2022 TROPHY ELK AVE, LOGANDALE, NV 89021
(702) 370-5820
Mailing address
PO BOX 870, LOGANDALE, NV 89021-0870
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506380
NV
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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