Tyler Jonathon Smith in Boise - Athletic Trainer
Tyler Jonathon Smith - NPI 1770611261
Tyler Jonathon Smith is a Athletic Trainer in Boise, Idaho. Tyler Jonathon Smith practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Tyler Jonathon Smith is 1770611261. The last update date is 2007-07-08.
Tyler Jonathon Smith's current location address is 2409 N Cribbens Ave, Boise, Idaho. You can contact this provider via phone number 2084842047. The mailing address for Tyler Jonathon Smith is 2409 N Cribbens Ave, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyler Jonathon Smith |
|---|---|
| Address | 2409 N Cribbens Ave, Boise, Idaho |
| Phone Number | 2084842047 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LAT |
NPI Number Detail
| NPI Number | 1770611261 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2409 N Cribbens Ave |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837135239 |
| Phone Number | 2084842047 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT-261 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identifier code issued to Tyler Jonathon Smith by the Centers for Medicare & Medicaid Services?
The Tyler Jonathon Smith has been assigned the NPI (National Provider Identifier) 1770611261 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Tyler Jonathon Smith located?
The Tyler Jonathon Smith is located at 2409 N Cribbens Ave, Boise, ID 837135239.
What is the area of specialization for Tyler Jonathon Smith, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tyler Jonathon Smith is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of expertise is 2255A2300X.
When was the Tyler Jonathon Smith's 1770611261 issued?
The Tyler Jonathon Smith's 1770611261 was issued on 2007-02-28.
When was the information regarding Tyler Jonathon Smith most recently updated?
The details pertaining to the Tyler Jonathon Smith, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1902809924
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