Individual
TYLER SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
33 UNIVERSITY ESTATES BLVD APT 301, ATHENS, OH 45701
(724) 984-1536
Mailing address
33 UNIVERSITY ESTATES BLVD APT 301, ATHENS, OH 45701-8099
(724) 984-1536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005602
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
10/06/2016
Last updated
06/16/2018
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