Individual
TYLER VERAGHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(906) 295-0399
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(906) 295-0399
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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