Individual
KYLE TIGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
21083 HARBOR LN UNIT A, SAINT ROBERT, MO 65584-8400
(231) 750-2873
Mailing address
21083 HARBOR LN UNIT A, SAINT ROBERT, MO 65584-8400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
02/14/2019
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