Individual
TYLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3555 S VAL VISTA DR, GILBERT, AZ 85297-7323
(480) 272-1440
Mailing address
4528 E KIVA CT, PHOENIX, AZ 85044-2460
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-100227
AZ
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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