Individual
TYLER JORDAN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 E UNIVERSITY # 9522, MAGNOLIA, AR 71753-2181
(501) 467-5349
Mailing address
2909 HIGHWAY 229 N, TRASKWOOD, AR 72167-9181
(501) 467-5349
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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