Individual
TYLER LEE NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 S JOHNSON ST, IOWA CITY, IA 52240-5015
(641) 203-4807
Mailing address
315 S JOHNSON ST, IOWA CITY, IA 52240-5015
(641) 203-4807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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