Individual
TYLER M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 ALBERT CREE DR, RUTLAND, VT 05701-4601
(802) 776-2204
(802) 773-0934
Mailing address
3 ALBERT CREE DR, RUTLAND, VT 05701-4601
(802) 776-2204
(802) 773-0934
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1040000170
VT
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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