Individual
TYLER FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CES
Contact information
Practice address
340 MAGNOLIA CIR BLDG 1465, TYNDALL AFB, FL 32403-5604
(850) 283-8298
Mailing address
340 MAGNOLIA CIR BLDG 1465, TYNDALL AFB, FL 32403-5604
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003983
NY
2255A2300X
Athletic Trainer
Primary
A0001405
MD
2255A2300X
Athletic Trainer
Primary
A01405
MD
Other
Enumeration date
09/08/2020
Last updated
07/09/2026
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