Individual
TYLER SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
92 CATAMOUNT RD, CULLOWHEE, NC 28723
(828) 227-2305
Mailing address
8578 RED OAK DR NE, WARREN, OH 44484-1630
(330) 984-9349
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
—
Enumeration date
07/27/2018
Last updated
07/27/2018
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