Individual
BOSTON TYLER FOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CUMBERLAND SQ, LEBANON, TN 37087-3408
(615) 444-2562
Mailing address
4385 THICK RD, CHAPEL HILL, TN 37034-2677
(414) 520-6440
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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