Individual
TYLER WIATREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
3251 AUSTINS COLONY PKWY, BRYAN, TX 77808-2276
(979) 209-7929
Mailing address
509 BRAZOS BND, SOMERVILLE, TX 77879-1160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5027
TX
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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