Individual
TYLER JUSTIN HOLLENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1131 JACKSON AVE, UNIT 3301, TUSCALOOSA, AL 35401
(901) 605-9784
Mailing address
1131 JACKSON AVE UNIT 3301, TUSCALOOSA, AL 35401-8412
(901) 605-9784
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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