TYLER MARTIN

KENOSHA, WI
NPI1043600919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1310-39)
Enumeration Date2015-01-30
Last Update Date2015-01-30
Business Address
Mr. TYLER MARTIN MA, ATC, LAT
900 WOOD RD
KENOSHA, WI 53144-1133
Phone number: 262-595-2164
Mailing Address
Mr. TYLER MARTIN MA, ATC, LAT
1296 VILLAGE CENTRE DR UNIT 5
KENOSHA, WI 53144-7265
Phone number: 262-515-1035
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