Tyler Nusbaum

Athletic Trainer · Clarksville, TN

Individual Active NPI

NPI number 1508429432

Practice location

200 S Hampton Pl
Clarksville, TN 37040-6359
Phone
(419) 518-0395

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NPI record

NPI
1508429432
Entity type
Individual (Type 1)
Enumeration date
April 16, 2019
Last updated
April 16, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2381 TN

Mailing address

216 Ohio Dr
Bryan, OH 43506-8944

About Tyler Nusbaum

Tyler Nusbaum is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 200 S Hampton Pl, Clarksville, TN 37040-6359. The NPI number 1508429432 was assigned on April 16, 2019 and the record was last updated on April 16, 2019.

Tyler Nusbaum lists a license in the registry: #2381 (TN) 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 Tyler Nusbaum?

The NPI number is 1508429432.

What is the phone number of Tyler Nusbaum?

The phone number listed for the practice location is (419) 518-0395.

Where is Tyler Nusbaum located?

200 S Hampton Pl, Clarksville, TN 37040-6359.

What is the taxonomy code for Tyler Nusbaum?

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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