Individual
TYLER SCOTT SIPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4184 BEAM RD, CRESTLINE, OH 44827-9640
(419) 632-5693
Mailing address
4184 BEAM RD, CRESTLINE, OH 44827-9640
(419) 632-5693
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006350
OH
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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