Gavin Tyler Tanis, MS, LAT, ATC

Athletic Trainer · Lewiston, ME

Individual Active NPI

NPI number 1205660263

Practice location

141 Russell St
Lewiston, ME 04240-6024
Phone
(207) 786-6255

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NPI record

NPI
1205660263
Entity type
Individual (Type 1)
Enumeration date
August 30, 2024
Last updated
August 30, 2024
Certified
August 30, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT970 ME

Mailing address

157 Central Ave
Lewiston, ME 04240-5303
Phone
(207) 852-3444

About Gavin Tanis

Gavin Tyler Tanis, MS, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 141 Russell St, Lewiston, ME 04240-6024. The NPI number 1205660263 was assigned on August 30, 2024 and the record was last updated on August 30, 2024.

Gavin Tanis lists a license in the registry: #AT970 (ME) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gavin Tyler Tanis, MS, LAT, ATC?

The NPI number is 1205660263.

What is the phone number of Gavin Tanis?

The phone number listed for the practice location is (207) 786-6255.

Where is Gavin Tanis located?

141 Russell St, Lewiston, ME 04240-6024.

What is the taxonomy code for Gavin Tanis?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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