Individual
TYLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6847 STEWART RD APT 323, CINCINNATI, OH 45236-4258
(937) 474-0258
Mailing address
6847 STEWART RD APT 323, CINCINNATI, OH 45236-4258
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
UC770218
OH
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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