Individual
MR. TYLER GARRETT GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
900 COLLEGE ST, BELTON, TX 76513-2578
(254) 295-8642
Mailing address
7902 PURVIS ST, TEMPLE, TX 76502-6106
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6968
TX
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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