Individual
TYLER STRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
15 NORTHUMBERLAND ST, SPRINGFIELD, MA 01109-2605
(413) 222-1809
Mailing address
15 NORTHUMBERLAND ST, SPRINGFIELD, MA 01109-2605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
#AHY-837989001
MA
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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