Individual
TYLER TIMOTHY TRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
120 NE SAINT LUKES BLVD STE 200, LEES SUMMIT, MO 64086-6011
(816) 246-4302
Mailing address
1230 MISSOURI CT APT 321, LIBERTY, MO 64068-2674
(417) 689-0553
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/04/2017
Last updated
12/11/2017
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